NPIMap

Individual provider Active NPI

Carol W Gallagher, APRN

  • Adult Health Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1790891323
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
002146 Issued in CT
Practice address
263 Farmington Avenue
Farmington, CT 06030
Phone
(860) 679-2160
Fax
(860) 679-1422
NPI assigned
Aug 23, 2006
Last updated
May 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 002146 CT
Adult Health Nurse Practitioner 363LA2200X 002146 CT Primary
Family Nurse Practitioner 363LF0000X 002146 CT

Addresses

Primary practice location

263 Farmington Avenue
Farmington, CT 06030

Mailing address

263 Farmington Avenue
Farmington, CT 06030-8082
Phone (860) 679-2160

Other practice location 1

21 South Rd
Suite 100
Farmington, CT 06032-2482
Phone (860) 409-4567

Other practice location 2

21 South Rd
Suite 100
Farmington, CT 06032-2482
Phone (860) 409-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100427000056 CT Practitioner - Nurse Practitioner 2062549132 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians

Practice addresses (Care Compare)

435 Lewis Ave
Meriden, CT 06451-2101
Phone (203) 694-8200

5 Highland St
New Britain, CT 06052-2013
Phone (860) 224-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as group
Quality
83.66
Promoting interoperability
100
Improvement activities
40
Cost
66.78

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40
Cost
77.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002146CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Gi PLLC Family CurrentSince Sep 26, 2001 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Feb 1, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Feb 1, 2024 Accepting new patients
Midstate Medical Center Current Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Feb 1, 2024 Accepting new patients
Midstate Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Midstate Medical Center CurrentSince Feb 1, 2024 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Feb 1, 2024 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Hartford Hospital Past Accepting new patients

Locations

21 South Rd
Ste 100
Farmington, CT 06032
Phone (860) 409-4567

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

190 Universal Dr N
North Haven, CT 06473
Phone (203) 234-1891

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Interoperability endpoints

  • Direct secure messaging: carol.gallagher@xdr.hhchealthdirect.org

Organizations & group practices 10

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 6

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1790891323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082",
            "telephone_number": "860-679-2160",
            "fax_number": "860-679-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06030",
            "telephone_number": "860-679-2160",
            "fax_number": "860-679-1422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 South Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322482",
            "country_code": "US",
            "telephone_number": "860-409-4567",
            "fax_number": "860-409-4846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 South Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322482",
            "country_code": "US",
            "telephone_number": "860-409-4567",
            "fax_number": "860-409-4846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "CAROL",
        "middle_name": "W",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "002146",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "002146",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.