Individual provider Active NPI

Michelle T Gahgan, APRN

  • Nurse Practitioner
  • Algonquin, IL
National Provider Identifier
1497373286
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209021567 Issued in IL
Practice address
1106 N Main St
Algonquin, IL 60102-3482
Phone
(224) 333-0928
Fax
(224) 209-8685
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209021567 IL Primary

Addresses

Primary practice location

1106 N Main St
Algonquin, IL 60102-3482

Mailing address

1106 N Main St
Algonquin, IL 60102-3482
Phone (224) 333-0928

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210524002101 IL Practitioner - Nurse Practitioner 8921407990 Reassigns benefits to 1 organization

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
Thomas G Salvi MD LLCGroup PAC ID 6103186382, 3 clinicians

Practice addresses (Care Compare)

1106 N Main St
Algonquin, IL 60102-3482
Phone (815) 353-2601

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.31 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
61.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas G. Salvi, MD, LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1106 N Main St
Algonquin, IL 60102
Phone (224) 333-0928

Interoperability endpoints

  • Direct secure messaging: michelle.gahgan.1@17421.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17421/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 6

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1497373286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N MAIN ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023482",
            "telephone_number": "224-333-0928",
            "fax_number": "224-209-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N MAIN ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023482",
            "telephone_number": "224-333-0928",
            "fax_number": "224-209-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAHGAN",
        "first_name": "MICHELLE",
        "middle_name": "T",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209021567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.