Active NPI
Mary Eileen Galetti, FNP-BC
- Nurse Practitioner
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71010816A
- Practice address
- 9330 Broadway
Crown Point, IN 46307-9830 - Phone
- (219) 648-2400
- NPI assigned
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28198927A | IN | |
| Registered Nurse | 163W00000X | 4704359018 | MI | |
| Nurse Practitioner | 363L00000X | 71010816A | IN | Primary |
Addresses
Primary practice location
9330 Broadway
Crown Point, IN 46307-9830
Mailing address
9330 Broadway
Crown Point, IN 46307-9830
Phone (219) 648-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
2003 W Fulton St
Suite 303
Chicago, IL 60612-2345
Phone (312) 243-2223
802 E 9TH St
Housecall Physicians of Illinois
Mishawaka, IN 46544-2314
Phone (312) 243-2223
9330 Broadway
Crown Point, IN 46307-9830
Phone (219) 648-2400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28198927A | IN | MD | Registered Nurse |
| 4704359018 | MI | MD | Registered Nurse |
| 71010816A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aims-Med, LLC | Current | Accepting new patients | |
| MD @ Home Illinois, SC | Current | Accepting new patients | |
| Aims, LLC | Current | Accepting new patients |
Locations
2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223
417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330
9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400
1167 Wilson Dr
Greenwood, IN 46143
Phone (317) 851-3101
6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400
111 E 3rd St
Unit 764
Mishawaka, IN 46546
1625 E Jefferson Blvd
Mishawaka, IN 46545
Phone (219) 257-2295
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Bremen, IN
- NPI 1376072785
-
dba Housecall Physicians of Illinois, SC
- Internal Medicine Physician
- Chicago, IL
- NPI 1568758415
IN
-
- Internal Medicine Physician
- Bremen, IN
- NPI 1881211878
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AccentCare Home Health of Illinois
- Home Health Agency
- Lombard, IL
- NPI 1528094109
-
- Home Health Agency
- Tinley Park, IL
- NPI 1073820049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1619586070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 BROADWAY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463079830",
"telephone_number": "219-648-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 BROADWAY",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463079830",
"telephone_number": "219-648-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALETTI",
"first_name": "MARY",
"middle_name": "EILEEN",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28198927A",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704359018",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71010816A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.