Individual provider Active NPI

Kristina A Gallagher, APRN

  • Acute Care Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1467079970
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11007829 Issued in FL
Practice address
2120 E Johnson Ave
Pensacola, FL 32514-6036
Phone
(850) 206-6784
NPI assigned
Jun 30, 2020
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11007829 FL Primary

Addresses

Primary practice location

2120 E Johnson Ave
Pensacola, FL 32514-6036

Mailing address

2120 E Johnson Ave
Pensacola, FL 32514-6036
Phone (850) 206-6784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200819000048 FL Practitioner - Nurse Practitioner 3476979667 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Lung Group, M.D.'S, P.a.Group PAC ID 7517928062, 31 clinicians

Practice addresses (Care Compare)

4700 Bayou Blvd
Suite 6
Pensacola, FL 32503-1901
Phone (850) 477-9253

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11007829FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services Group of Florida, LLC CurrentSince Aug 26, 2024 Accepting new patients
Gulf Coast Infectious Diseases Inc CurrentSince Jul 5, 2020 Accepting new patients
Pensacola Lung Group, M.D.'S, P.a. CurrentSince Jan 8, 2026 Accepting new patients
Psgfl MSSP, LLC CurrentSince Jul 24, 2025 Accepting new patients
Gulf Coast Infectious Disease PastSince Jul 5, 2020 Accepting new patients

Locations

2120 E Johnson Ave
Pensacola, FL 32514
Phone (850) 494-4885

2120 E Johnson Ave
Ste 105
Pensacola, FL 32514
Phone (850) 549-4755

4700 Bayou Blvd
Ste 6
Pensacola, FL 32503
Phone 8504779253 ext. 4616

8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633

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 4

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": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1467079970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146036",
            "telephone_number": "850-206-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E JOHNSON AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146036",
            "telephone_number": "850-206-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "KRISTINA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11007829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.