Individual provider Active NPI

Meghan Killilea Galli, APRN, FNP-BC

  • Family Nurse Practitioner
  • Guilford, CT
National Provider Identifier
1053945204
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8745 Issued in CT
Practice address
1057 Boston Post Rd Ste 2
Guilford, CT 06437-2672
Phone
(203) 458-1444
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8745 CT
Family Nurse Practitioner 363LF0000X 8745 CT Primary

Addresses

Primary practice location

1057 Boston Post Rd Ste 2
Guilford, CT 06437-2672

Mailing address

1057 Boston Post Rd Ste 2
Guilford, CT 06437-2672

Other practice location 1

300 Seymour Ave Ste 202
Derby, CT 06418-1343
Phone (203) 732-2651

Other names 1

  • Meghan Elizabeth Killilea Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200320001935 CT Practitioner - Nurse Practitioner 9931537156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Griffin Faculty Physicians IncGroup PAC ID 7618871997, 125 clinicians

Practice addresses (Care Compare)

300 Seymour Ave
Suite 202
Derby, CT 06418-1343
Phone (203) 732-2651

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Jan 10, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 10, 2025 Accepting new patients
Griffin Faculty Physicians, Inc. CurrentSince May 1, 2021 Accepting new patients
Connecticut CVS Pharmacy, L.L.C. PastSince Mar 5, 2020 Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

300 Seymour Ave
Ste 202
Derby, CT 06418
Phone (203) 732-2651

9 Washington Ave
Ste 3A
Hamden, CT 06518
Phone (475) 227-3614

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Interoperability endpoints

  • Direct secure messaging: meghan.galli.1@1323.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1053945204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 BOSTON POST RD STE 2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 BOSTON POST RD STE 2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372672",
            "telephone_number": "203-458-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Seymour Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "CT",
            "postal_code": "064181343",
            "country_code": "US",
            "telephone_number": "203-732-2651",
            "fax_number": "203-732-2654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLI",
        "first_name": "MEGHAN",
        "middle_name": "KILLILEA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "8745",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "KILLILEA",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.