Individual provider Active NPI

Megan Jo Galloway, CNM

  • Advanced Practice Midwife
  • South Lake Tahoe, CA
National Provider Identifier
1376053702
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
2175 South Ave
South Lake Tahoe, CA 96150-7024
Phone
(530) 543-5711
Fax
(530) 544-2503
NPI assigned
Oct 12, 2017
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CA Primary
Midwife 176B00000X CA

Addresses

Primary practice location

2175 South Ave
South Lake Tahoe, CA 96150-7024

Mailing address

7950 Kipling St Ste 201
Arvada, CO 80005-3926
Phone (303) 424-6466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230322002967 CA Practitioner - Certified Nurse Midwife (CNM) 6800158809 Reassigns benefits to 3 organizations
I20230803003990 NV Practitioner - Certified Nurse Midwife (CNM) 6800158809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, 168 clinicians

Practice addresses (Care Compare)

1095 Marshall Way
Suite 201
Placerville, CA 95667-5722
Phone (530) 626-3686

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Marshall Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Tahoe Carson Valley Medical Group Inc CurrentSince Jan 27, 2023 Accepting new patients
Barton Medical Foundation CurrentSince Jan 27, 2023 Accepting new patients
Marshall Medical Center Past Accepting new patients

Locations

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

1090 3rd St
South Lake Tahoe, CA 96150
Phone (530) 543-5660

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2175 South Ave
South Lake Tahoe, CA 96150
Phone (530) 543-5711

897 Ironwood Dr
Minden, NV 89423
Phone (775) 364-1411

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 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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1376053702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 KIPLING ST STE 201",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800053926",
            "telephone_number": "303-424-6466",
            "fax_number": "303-420-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507024",
            "telephone_number": "530-543-5711",
            "fax_number": "530-544-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "MEGAN",
        "middle_name": "JO",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.