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Michael David Palmer , PA-C

Physician Assistant β€’ Ellsworth Afb, SD

Active NPI 1134532997 Individual Practitioner Male Practitioner
Practice location in NPPES

2900 Doolittle Dr
Ellsworth Afb, SD 577064821

Call 6053853132 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2900 Doolittle Dr

Ellsworth Afb, SD 577064821

Telephone 6053853132
Organization at the Same NPPES Address or Phone
28th Medgrp-Ellsworth Facility NPI 1023091642

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ellsworth Afb and South Dakota

8 active clinicians are listed under Physician Assistant with a practice address in Ellsworth Afb, SD (691 in South Dakota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-11-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: South Dakota State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
NPI 1811505910
NPI 1083607535

Doctor of Optometry

Kara Christensen

Nurse Practitioner - Family

NPI 1396275079
Dr. Benjamin Coon , DDS

Dentist - General Practice

NPI 1124009956

Doctor of Dental Surgery

Blake Greenfield , PA-C

Physician Assistant

NPI 1578501326

Physician Assistant (Certified)

Jordan Hickman , PA-C

Physician Assistant

NPI 1801211123

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

19 Historical Events
πŸ“
Updated Practice Location November 03, 2026

Registered at 2900 DOOLITTLE DR, ELLSWORTH AFB, SD 577064821 (Tel: 6053853132)

πŸ“
Updated Business Mailing Address November 03, 2026

Registered at 2900 DOOLITTLE DR, ELLSWORTH AFB, SD 577064821 (Tel: 6053853132)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2026

Physician Assistant

πŸ“
Updated Practice Location January 15, 2026

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 782365638 (Tel: 2102920515)

πŸ“
Updated Business Mailing Address January 15, 2026

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 782365638

πŸ“
Updated Practice Location February 27, 2025

Registered at 3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 782344504 (Tel: 2105399582)

πŸ“
Updated Business Mailing Address May 13, 2024

Registered at 701 HOSPITAL LOOP STE 42, FAIRCHILD AFB, WA 990118702 (Tel: 5092475755)

πŸ“
Updated Practice Location January 19, 2022

Registered at 701 HOSPITAL LOOP STE 42, FAIRCHILD AFB, WA 990118702 (Tel: 5092475575)

πŸ“
Updated Business Mailing Address January 19, 2022

Registered at 6828 S GRANITE HILLS DR, SPOKANE, WA 992249052 (Tel: 6362337763)

πŸ“
Updated Practice Location November 08, 2018

Registered at 18TH MEDICAL GROUP, UNIT 5142, APO, AP 96367 (Tel: 3156304060)

πŸ“
Updated Business Mailing Address November 08, 2018

Registered at PSC 80 BOX 11723, APO, AP 963670020

πŸ‘€
Provider Name / Credentials Updated November 08, 2018

Recorded as MICHAEL PALMER, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2018

Military Health Care Provider

βœ…
NPI Profile Active February 10, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 10, 2015

Registered at 701 HOSPITAL LOOP, FAIRCHILD AIR FORCE BASE, WA 990118704 (Tel: 5092475755)

πŸ“
Business Mailing Address (Initial Record) February 10, 2015

Registered at 701 HOSPITAL LOOP, FAIRCHILD AIR FORCE BASE, WA 990118704 (Tel: 5092475755)

πŸ‘€
Provider Name / Credentials (Initial Record) February 10, 2015

Recorded as MICHAEL PALMER, IDMT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2015

Military Health Care Provider

🟒
Initial NPI Registration & Enumeration June 09, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134532997
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2014
Last Update: November 03, 2026
Sole Proprietor: No

Other Physician Assistants in Ellsworth Afb

Mailing Address

2900 Doolittle Dr

Ellsworth Afb, SD 577064821

Phone: 6053853132

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.