Active NPI
Vanessa Elizabeth Galloway, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Evergreen Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.026292
- Practice address
- 9125 S Pulaski Rd
Evergreen Park, IL 60805-1441 - Phone
- (708) 422-7715
- NPI assigned
- Nov 1, 2022
- Last updated
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.026292 | IL | Primary |
Addresses
Primary practice location
9125 S Pulaski Rd
Evergreen Park, IL 60805-1441
Mailing address
120 W 22ND St
Oak Brook, IL 60523-1557
Phone (630) 573-5000
Other practice location 1
9977 Woods Dr
Skokie, IL 60077-1057
Phone (224) 364-2273
Other practice location 2
16605 S 107th Court
Orland Park, IL 60467
Phone (708) 226-9860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16605 107TH St
Orland Park, IL 60467-9016
Phone (708) 226-9860
9125 S Pulaski Rd
Evergreen Park, IL 60805-1441
Phone (708) 422-7715
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.026292 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Nephrology Associates, S.C. | Current | Accepting new patients | |
| Nephrology Associates of Northern Illinois, LTD. | Current | Accepting new patients |
Locations
12250 S Cicero Ave
Ste 112
Alsip, IL 60803
Phone (708) 371-5308
3223 W 63rd St
Chicago, IL 60629
Phone (773) 735-4884
800 Biesterfield Rd
Ste 104
Elk Grove Village, IL 60007
Phone (847) 593-9182
9125 S Pulaski Rd
Evergreen Pk, IL 60805
Phone (708) 422-7715
120 W 22nd St
Oak Brook, IL 60523
120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000
16605 107th St
Orland Park, IL 60467
Phone (708) 226-9860
Interoperability endpoints
- vgalloway64917@direct.acumenmd.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Oak Brook, IL
- NPI 1124069182
-
- Ambulatory Surgical Clinic/Center
- Orland Park, IL
- NPI 1104925163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1114634805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W 22ND ST",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231557",
"telephone_number": "630-573-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9125 S PULASKI RD",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608051441",
"telephone_number": "708-422-7715"
}
],
"practiceLocations": [
{
"address_1": "9977 Woods Dr",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600771057",
"country_code": "US",
"telephone_number": "224-364-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16605 S 107th Court",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "60467",
"country_code": "US",
"telephone_number": "708-226-9860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLOWAY",
"first_name": "VANESSA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-01",
"last_updated": "2024-08-01",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.026292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.