Emily Gallaway
Individual provider Active NPI Adult Health Nurse Practitioner · White Cloud, MI
NPI 1104604586 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1104604586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 4704297341 (MI)
- Practice address
- 1035 E Wilcox Ave
White Cloud, MI 49349-8794 - Phone
- (231) 689-5943
- Fax
- (231) 689-1590
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baldwin Family Health Care
Practice addresses (Care Compare)
1035 E Wilcox Ave
White Cloud, MI 49349-8794
Phone (231) 689-5943
Hospital & facility affiliations
- Corewell Health Gerber Hospital
- Corewell Health Big Rapids Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231202000267 | MI | Practitioner - Nurse Practitioner | 0547618480 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704297341 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Family Health Care | Current |
Accepting new patients | |
| Baldwin Family Health Care | Current |
Accepting new patients | |
| Baldwin Family Health Care | Current | Accepting new patients | |
| Baldwin Family Health Care | Past | Accepting new patients | |
| Baldwin Family Health Care | Past | Accepting new patients |
Locations
1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781
520 Cobb St
Cadillac, MI 49601
Phone (231) 775-6521
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704297341 | MI | Yes |
| Gerontology Nurse Practitioner | 363LG0600X | 4704297341 | MI |
Addresses
Primary practice location
1035 E Wilcox Ave
White Cloud, MI 49349-8794
Mailing address
520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 876-6527
Other practice location 1
3253 Elwood Ave SW
Grandville, MI 49418-1622
Phone (517) 294-0887
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emily.gallaway.p1@direct.bfhc.nextgenshare.com |
Other providers in White Cloud, MI
- Robert Terry Ekkens
- Stephanie Enos
- Noelle Jeanne Eveland
- Jacob Fields
- Amber Gall
- Jonathan B Gamm
- Joseph Gardner
- Michael Kevin Geoghan
- Brent Glasgow
- Lori Goldin
All providers in White Cloud, MI · Adult Health Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.