Individual provider Active NPI

Melissa Marlene Gallagher, NP

  • Family Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1356486286
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002337A Issued in IN
Practice address
520 S 9TH St Ste a
Richmond, IN 47374-6230
Phone
(765) 935-5390
Fax
(765) 966-0858
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71002337A IN Primary

Addresses

Primary practice location

520 S 9TH St Ste a
Richmond, IN 47374-6230

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

Other identifiers 3

IdentifierTypeStateIssuer
201003400MedicaidIN
000000681678OtherANTHEM
0067506MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100519000555 IN Practitioner - Nurse Practitioner 5991834673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Health Services CorpGroup PAC ID 5597679845, 78 clinicians

Practice addresses (Care Compare)

520 S 9TH St
Suite a
Richmond, IN 47374-6230
Phone (765) 935-5390

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp. CurrentSince Jun 3, 2024 Accepting new patients
Meridian Health Services Corp CurrentSince Jun 3, 2024 Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Reid Hospital & Health Care Services Inc Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Reid Hospital & Health Care Services, Inc Past Accepting new patients

Locations

240 N Tillotson Ave
Muncie, IN 47304

2300 Chester Blvd
Richmond, IN 47374
Phone (765) 935-5390

380 Hub Etchison Pkwy
Rm R144
Richmond, IN 47374
Phone (765) 973-3424

520 S 9th St
Ste A
Richmond, IN 47374
Phone (765) 254-5347

Interoperability endpoints

  • Direct secure messaging: melissa.gallagher.p1@direct.meridianhs.nextgenshare.com

Organizations & group practices 6

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 1

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1356486286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 9TH ST STE A",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746230",
            "telephone_number": "765-935-5390",
            "fax_number": "765-966-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MELISSA",
        "middle_name": "MARLENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002337A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201003400",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000681678",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067506",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.