Individual provider Active NPI

Mary Ellen Gallagher, NP, CNM

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1578299053
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
310668 Issued in NY
Practice address
855 Central Ave
Albany, NY 12206-1513
Phone
(518) 434-5678
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 000116 NY
Family Nurse Practitioner 363LF0000X 310668 NY Primary

Addresses

Primary practice location

855 Central Ave
Albany, NY 12206-1513

Mailing address

114 University Ave
Rochester, NY 14605-2929
Phone (585) 371-8373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230104002112 NY Practitioner - Nurse Practitioner 2264802453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Hudson Planned Parenthood IncGroup PAC ID 4284803743, 12 clinicians

Practice addresses (Care Compare)

855 Central Ave
Albany, NY 12206-1513
Phone (518) 434-5678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000116NYMDMarriage & Family Therapist
310668NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Hudson Planned Parenthood Inc. CurrentSince Sep 16, 2022 Accepting new patients
Planned Parenthood of Central and Western New York, Inc Past Accepting new patients

Locations

855 Central Ave
Ste 3
Albany, NY 12206
Phone (518) 434-5678

855 Central Ave
Albany, NY 12206
Phone (518) 434-5678

804 Columbia St
Hudson, NY 12534
Phone 5184345678 ext. 210

120 Hoosick St
Troy, NY 12180
Phone (518) 274-5640

120 Hoosick St
Ste 12
Troy, NY 12180
Phone (518) 434-5678

Interoperability endpoints

  • Direct secure messaging: gallagher.maryellen.p6@direct.usppny.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1578299053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052929",
            "telephone_number": "585-371-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061513",
            "telephone_number": "518-434-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MARY ELLEN",
        "credential": "NP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "000116",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "310668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.