Anna Gagliano, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP001570 Issued in SD

Practice address

7236 Jordan Dr Ste 101
Rapid City, SD 57702-8740

Phone

(605) 341-5565

Fax

(605) 341-5595

NPI assigned

May 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SD

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black Hills Dermatology PCGroup PAC ID 5799767851, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60043

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.

• Black Hills Dermatology PC

  • Dermatology Physician
  • Rapid City, SD
  • NPI 1497727028
  Medicare reassignment Care Compare group NPD
• Black Hills Dermatology PC

  • Dermatology Physician
  • Spearfish, SD
  • NPI 1689831091
  NPD

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1760040190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6540",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577096540",
            "telephone_number": "605-341-5565",
            "fax_number": "605-341-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7236 JORDAN DR STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028740",
            "telephone_number": "605-341-5565",
            "fax_number": "605-341-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIANO",
        "first_name": "ANNA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA BOARD OF NURSING",
            "identifier": "R044289",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA BOARD OF NURSING",
            "identifier": "CP001570",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cole Poulter Fulton, DO
• Vickey Lynn Fuss, OTR/L
• Carmen Futch
• Hannah Fye, BS
• Christian Jay Gaffney, MD
• Erica Lauren Galbreath, NNP-BC
• Amanda Lynn Gale, LCSW
• Thane T Gale, MD
• Jacquelyn Nicole Galles, MS, NCC, LPC-MH
• Darci Galligo, ACT

• Family Nurse Practitioner in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.

Verify at the official NPI Registry.