Julian Leandro Gallegos, PHD, MBA, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71011632A Issued in IN

Practice address

901 Prince William Rd Ste a
Delphi, IN 46923-1759

Phone

(765) 564-3016

NPI assigned

Feb 29, 2012

Last updated

Jul 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trustees of Purdue UniversityGroup PAC ID 2567373012, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/
• Direct secure messaging: julian.gallegos.1@29127.direct.athenahealth.com

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.

• Trustees of Purdue University

  dba M D Steer Audiology & Speech-Language Clinics

  • Hearing and Speech Clinic/Center
  • West Lafayette, IN
  • NPI 1619055712
  Medicare reassignment Care Compare group NPD
• Trustees of Purdue University

  dba Family Health Clinic of Carroll County

  • Federally Qualified Health Center (FQHC)
  • Delphi, IN
  • NPI 1477549731
  NPD
• Trustees of Purdue University

  dba Family Health Clinic of Wolcott

  • Federally Qualified Health Center (FQHC)
  • Wolcott, IN
  • NPI 1598111791
  NPD
• Trustees of Purdue University

  dba Family Health Clinic of Monon

  • Federally Qualified Health Center (FQHC)
  • Monon, IN
  • NPI 1871794826
  NPD (past)
• Northbay Physicians Surgery Center LLC

  dba The Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vacaville, CA
  • NPI 1003015843
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1407120082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LAMBSDOWNE LN",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "47096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PRINCE WILLIAM RD STE A",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469231759",
            "telephone_number": "765-564-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Lambsdowne Ln",
            "address_purpose": "LOCATION",
            "city": "West Lafayette",
            "state": "IN",
            "postal_code": "47096",
            "country_code": "US",
            "telephone_number": "707-628-5989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "JULIAN",
        "middle_name": "LEANDRO",
        "name_prefix": "Dr.",
        "credential": "PHD, MBA, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20489",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011632A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "80125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Dougherty, FNP
• Allison Marie Dowty, LCSW
• Benjamin John Ema, FNP-C
• Kristin Fleming, PHARMD
• Franciscan Communities, Inc. (St. Elizabeth Healthcare Center)
• Leah Gwin, APN
• Kayla Jealea Hamstra, CPNP
• Jennifer L Hendrickson, MS-SLP
• Melinda Hendrix
• Jean M Herd, CFNP

• Family Nurse Practitioner in Delphi, IN
• Providers in Delphi, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.