Individual provider Active NPI

Megan Ashley Gallegos, FNP-C

  • Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1720730393
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61657502 Issued in WA
Practice address
1400 NE 136TH Ave
Vancouver, WA 98684-0993
Phone
(360) 299-5529
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60311875 WA
Nurse Practitioner 363L00000X AP61657502 WA Primary

Addresses

Primary practice location

1400 NE 136TH Ave
Vancouver, WA 98684-0993

Mailing address

1400 NE 136TH Ave
Vancouver, WA 98684-0993
Phone (360) 947-7252

Other names 1

  • Megan Gallegos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250730002870 WA Practitioner - Nurse Practitioner 7719494095 Practice locations: Vancouver, WA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60311875WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Family Medicine CurrentSince May 10, 2025 Accepting new patients
Serving Hands Medical Center NPC PastSince Feb 2, 2025 Accepting new patients

Locations

1400 NE 136th Ave
Ste 201
Vancouver, WA 98684
Phone (360) 258-1787

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746921600000",
    "number": "1720730393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NE 136TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986840993",
            "telephone_number": "360-947-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE 136TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986840993",
            "telephone_number": "360-299-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "MEGAN",
        "middle_name": "ASHLEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2025-05-11",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60311875",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61657502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "GALLEGOS",
            "credential": "RN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.