Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY LOU PALMER NP
NPI 1679114607
Nurse Practitioner - Family in Avon, IN

Active since October 01, 2019PECOS Enrolled
1115 N RONALD REAGAN PKWY STE 171, AVON, IN 46123(317) 217-2888 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 18, 2026, Apr 3, 2026, Nov 10, 2025 and 1 more (4 updates tracked since 2019).

About Mary Lou Palmer Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LOU PALMER NP (NPI 1679114607) is an individual family provider in Avon, Indiana, licensed in Indiana (71009704A) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (2019).

NPPES Registry Identity

NPI1679114607
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY LOU PALMERCredential: NP
Location Address1115 N RONALD REAGAN PKWY STE 171Avon, IN 46123-6914
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 2019
Enumeration DateOctober 1, 2019
Last NPPES UpdateAugust 18, 20264 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
NPI 1679114607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IN · 71009704A Licensed in IN · F09191274
1115 N RONALD REAGAN PKWY STE 171, Avon, IN 46123

Secondary Practice Locations 2

Location 13400 Lafayette RdIndianapolis, IN 46222-1146 · Phone (219) 433-8147
Location 221 W Main StBrownsburg, IN 46112-1241 · Phone (866) 389-2727

Other Identifiers 1

Medicaid300035313IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Lou Palmer Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567881279
PECOS Enrollment IDI20200930000638
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lou Palmer's NPI number?

The NPI number for Mary Lou Palmer is 1679114607. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Mary Lou Palmer located?

Mary Lou Palmer practices at 1115 N Ronald Reagan Pkwy Ste 171, Avon, IN 46123. The listed phone number is (317) 217-2888.

What is Mary Lou Palmer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Lou Palmer enrolled in Medicare?

Yes. Mary Lou Palmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Lou Palmer accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Mary Lou Palmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Lou Palmer was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.