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DR. LISA C PALMER D.O.
NPI 1972628162
Pediatrics - Pediatric Hematology-Oncology in Green Bay, WI

Active since March 20, 2007PECOS Enrolled
2060 BELLEVUE ST, GREEN BAY, WI 54311(920) 965-0606(920) 965-0607 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa C Palmer D.o. NPPES

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

DR. LISA C PALMER D.O. (NPI 1972628162) is an individual pediatric hematology-oncology provider in Green Bay, Wisconsin, licensed in Wisconsin (63183) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972628162
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameDR. LISA C PALMERCredential: D.O.
Location Address2060 BELLEVUE STGreen Bay, WI 54311-5622
Mailing Address2060 Bellevue StGreen Bay, WI 54311-5622 · (920) 965-0606 · Fax (920) 965-0607
Phone(920) 965-0606
Fax(920) 965-0607
Sole ProprietorNo
Enumeration DateMarch 20, 2007
Last NPPES UpdateNovember 24, 2014
✔ NPI 1972628162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in WI · 63183
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
2060 BELLEVUE ST, Green Bay, WI 54311
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Other Identifiers 3

Medicare PINPA6035521WV
Medicare UPINH99208
Medicaid3810008325WV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa C Palmer D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA BROOKE BUXTON APNP
Nurse Practitioner (Family)
2060 BELLEVUE ST
GREEN BAY, WI 54311
Brown County (920) 965-0606
HEMOPHILIA OUTREACH OF WISCONSIN, INC.
Internal Medicine (Hematology)
2060 BELLEVUE ST
GREEN BAY, WI 54311
Brown County (920) 965-0606

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 Lisa Palmer's NPI number?

The NPI number for Lisa Palmer is 1972628162. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Lisa Palmer located?

Lisa Palmer practices at 2060 Bellevue St, Green Bay, WI 54311. The listed phone number is (920) 965-0606.

What is Lisa Palmer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Lisa Palmer enrolled in Medicare?

Yes. Lisa Palmer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Palmer was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.