PATRICK PALSGROVE PA-C NPI 1457494148

NPI Information

  • NPI: 1457494148
  • Provider Name: PATRICK PALSGROVE, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2649 N LARAMIE AVE
    CHICAGO, IL
    ZIP 60639
  • Phone: (773) 237-1411

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NPI Details

Patrick Palsgrove, PA-C is a medical physician assistant in Chicago, IL with 26 years of experience. Patrick Palsgrove, PA-C NPI is 1457494148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2649 N LARAMIE AVE
CHICAGO, IL
ZIP 60639-613
Phone: (773) 237-1411
Fax: (773) 237-1412

The NPI 1457494148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS:63048)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS:63052)

The enumeration date for this NPI number is 2/14/2007 and was last updated on 11/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant1738COLORADONo
2363AM0700XPhysician AssistantMedical085.002878ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P25202MEDICARE UPINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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