NPIMap

Individual provider Active NPI

Katrina Gallagher, N.P.

  • Family Nurse Practitioner
  • Huntley, IL
National Provider Identifier
1720087398
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.000016 Issued in IL
Practice address
12151 Regency Pkwy Ste 12137
Huntley, IL 60142-7644
Phone
(847) 515-2200
Fax
(847) 515-2328
NPI assigned
Jul 18, 2005
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.000016 IL Primary

Addresses

Primary practice location

12151 Regency Pkwy Ste 12137
Huntley, IL 60142-7644

Mailing address

600 S Randall Rd Ste 210
Algonquin, IL 60102-5937
Phone (224) 783-4365

Other practice location 1

13900 Quality Dr
Huntley, IL 60142-8098
Phone (847) 961-7800

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kgallagher205736@myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008001415 IL Practitioner - Nurse Practitioner 4385603786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1425 N Randall Rd
Sherman Health
Elgin, IL 60123-2300
Phone (847) 742-9800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.000016ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Illinois, P.C. CurrentSince Oct 21, 2015 Accepting new patients
Cep America Illinois LLP CurrentSince Oct 1, 2016 Accepting new patients
Inpatient Consultants of Illinois, P.C. CurrentSince Oct 21, 2015 Accepting new patients
Cepamerica Illinois LLP CurrentSince Oct 1, 2016 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Greater Elgin Emergency Specialists LTD Past Accepting new patients
Central Dupage Emergency Physicians, PC PastSince Feb 11, 2024 Accepting new patients
Urology, LTD. PastSince Oct 1, 2019 Accepting new patients
Northwest Community Hospital Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

600 S Randall Rd
Ste 210
Algonquin, IL 60102
Phone (224) 783-4365

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

2320 Royal Blvd
Elgin, IL 60123
Phone (224) 783-4440

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

934 Center St
Elgin, IL 60120
Phone (847) 429-2932

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

1225 W Lake St
Melrose Park, IL 60160
Phone (708) 681-3000

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 9

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 7

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1720087398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S RANDALL RD STE 210",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025937",
            "telephone_number": "224-783-4365",
            "fax_number": "224-783-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 REGENCY PKWY STE 12137",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427644",
            "telephone_number": "847-515-2200",
            "fax_number": "847-515-2328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13900 Quality Dr",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601428098",
            "country_code": "US",
            "telephone_number": "847-961-7800",
            "fax_number": "847-961-7801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "KATRINA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgallagher205736@myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13900 Quality Dr",
            "city": "Huntley",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601428098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "13900 Quality Dr",
            "city": "Huntley",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601428098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.