Individual provider Active NPI

Kelly Gallo, WHNP-BC

  • Women's Health Nurse Practitioner
  • Naples, FL
National Provider Identifier
1043767874
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024173939 Issued in VA
Practice address
1265 Creekside Pkwy Ste 200
Naples, FL 34108-1954
Phone
(239) 513-1992
Fax
(239) 513-9022
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024173939 VA Primary

Addresses

Primary practice location

1265 Creekside Pkwy Ste 200
Naples, FL 34108-1954

Mailing address

1265 Creekside Pkwy Ste 200
Naples, FL 34108-1954
Phone (239) 513-1992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161025002523 DC Practitioner - Nurse Practitioner 1557649613 Reassigns benefits to 1 organization
I20161103000429 VA Practitioner - Nurse Practitioner 1557649613 Reassigns benefits to 1 organization
I20221216001511 FL Practitioner - Nurse Practitioner 1557649613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collier Hma Physician Management LLCGroup PAC ID 2769495167, 99 clinicians

Practice addresses (Care Compare)

6101 Pine Ridge Rd
Naples, FL 34119-3900

8300 Collier Blvd
Naples, FL 34114-3549
Phone (239) 348-4236

8340 Collier Blvd
Naples, FL 34114-3589

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Current Accepting new patients
Collier Hma Physician Management LLC CurrentSince Jan 9, 2023 Accepting new patients
Inova Health Care Services CurrentSince Sep 23, 2016 Accepting new patients
Collier Hma Physician Management LLC CurrentSince Jan 9, 2023 Accepting new patients
Inova Health Care Services CurrentSince Sep 23, 2016 Accepting new patients

Locations

1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670

8300 Collier Blvd
Naples, FL 34114
Phone (239) 348-4000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8340 Collier Blvd
Ste 405
Naples, FL 34114
Phone (239) 348-4579

8340 Collier Blvd
Ste 207
Naples, FL 34114
Phone (239) 348-4277

6376 Pine Ridge Rd
Unit 420
Naples, FL 34119
Phone (239) 348-4277

6376 Pine Ridge Rd
Unit 300
Naples, FL 34119
Phone (239) 348-4128

3289 Woodburn Rd
Ste 320
Annandale, VA 22003
Phone (703) 698-7100

3580 Joseph Siewick Dr
Ste 403
Fairfax, VA 22033
Phone (703) 391-4395

8081 Innovation Park Dr
Ste 775
Fairfax, VA 22031
Phone (571) 472-1660

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kelly.gallo.1@4692.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1043767874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 CREEKSIDE PKWY STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081954",
            "telephone_number": "239-513-1992",
            "fax_number": "239-513-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 CREEKSIDE PKWY STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081954",
            "telephone_number": "239-513-1992",
            "fax_number": "239-513-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "KELLY",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024173939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.