MRS. NICOLE MARIE PALUMBO PA
NPI 1972906998
Physician Assistant - Medical in Victorville, CA
About Mrs. Nicole Marie Palumbo Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE MARIE PALUMBO PA (NPI 1972906998) is an individual medical provider in Victorville, California, licensed in California (64785) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Bernardino, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Mrs. Nicole Marie Palumbo Pa 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.
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.
VICTORVILLE, CA 92395
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 Nicole Palumbo's NPI number?
The NPI number for Nicole Palumbo is 1972906998. It was assigned to this individual provider in the NPPES registry on October 4, 2014. The provider is also known as Ms. Nicole Marie Goodbread PA.
Where is Nicole Palumbo located?
Nicole Palumbo practices at 12370 Hesperia Rd Ste 17, Victorville, CA 92395. The listed phone number is (760) 388-0071.
What is Nicole Palumbo's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Nicole Palumbo enrolled in Medicare?
Yes. Nicole Palumbo 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.
When was this NPI record last updated?
The NPPES record for Nicole Palumbo was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Mrs. Nicole Marie Palumbo, PA · NPI 1972906998
Medical physician in Victorville, California. Individual provider, active in the CMS NPPES registry since October 4, 2014.
## Identity
- **NPI:** 1972906998 (Entity type: Individual)
- **Enumerated:** October 4, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 64785 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12370 HESPERIA RD STE 17, Victorville, CA 92395-5808
- **Phone:** (760) 388-0071
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972906998) · Data from the CMS NPPES public registry.