Individual provider Active NPI

Amy Elizabeth Gallagher, RN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1821812793
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
71017324A. Issued in IN
Practice address
3200 Vine St
Cincinnati, OH 45220-2213
Phone
(513) 861-3100
NPI assigned
Nov 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 71017324A. IN Primary
Physical Medicine & Rehabilitation Physician 208100000X CNP.0038067 OH

Addresses

Primary practice location

3200 Vine St
Cincinnati, OH 45220-2213

Mailing address

2397 Haddock Dr
Lawrenceburg, IN 47025-9625
Phone (513) 477-0238

Other practice location 1

215 W High St
Liberty, IN 47353-1006
Phone (765) 458-5117

Other practice location 2

11049 State Road 101
Brookville, IN 47012-8816
Phone (765) 647-2527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20251223001712 IN Practitioner - Nurse Practitioner 4587159959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 E Rivulon Blvd
Suite 103
Gilbert, AZ 85297-0096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP.0038067OHMDPhysical Medicine & Rehabilitation Physician
71017324A.INMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Indiana PC Physical Medicine & Rehabilitation CurrentSince Nov 12, 2025 Accepting new patients
Post Acute Medical PLLC Physical Medicine & Rehabilitation CurrentSince Nov 12, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

11049 State Road 101
Brookville, IN 47012
Phone (765) 647-2527

410 W Lagrange Rd
Hanover, IN 47243
Phone (812) 503-5071

3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667

215 W High St
Liberty, IN 47353
Phone (765) 458-5117

1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1821812793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 HADDOCK DR",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470259625",
            "telephone_number": "513-477-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 VINE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202213",
            "telephone_number": "513-861-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 W High St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "IN",
            "postal_code": "473531006",
            "country_code": "US",
            "telephone_number": "765-458-5117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11049 State Road 101",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "IN",
            "postal_code": "470128816",
            "country_code": "US",
            "telephone_number": "765-647-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "RN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71017324A.",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "CNP.0038067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.