Individual provider Active NPI

Maureen Joan Gallagher, FNP

  • Nurse Practitioner
  • Malone, NY
National Provider Identifier
1851641971
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
535830 Issued in NY
Practice address
133 Park St
Malone, NY 12953-1244
Phone
(518) 483-3000
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 535830 NY Primary
Family Nurse Practitioner 363LF0000X F337487-1 NY
Family Nurse Practitioner 363LF0000X AP60748114 WA

Addresses

Primary practice location

133 Park St
Malone, NY 12953-1244

Mailing address

605 S Coolidge St
Moses Lake, WA 98837
Phone (509) 765-0674

Other practice location 1

160 Braod Street
Hamilton, NY 13346
Phone (315) 825-3111

Other practice location 2

605 S Coolidge St
Moses Lake, WA 98837-1893
Phone (509) 765-0674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20121015000257 NY Practitioner - Nurse Practitioner 7810147501 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial HospitalGroup PAC ID 6103805163, 43 clinicians

Practice addresses (Care Compare)

150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-4600

Hospital & facility affiliations

  • The University of Vermont Health Network-Alice Hy Hospital, Malone, NY, CCN 331321
  • Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337487NYMDPsychiatry Physician
535830NYMDNurse Practitioner
F337487-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital CurrentSince Jun 1, 2019 Accepting new patients
Port City Emergency Physicians LLP Nurse Practitioner CurrentSince Aug 5, 2018 Accepting new patients
Rochester General Hospital CurrentSince Mar 6, 2025 Accepting new patients
Port City Emergency Physicians LLP Nurse Practitioner Current Accepting new patients
Alice Hyde Medical Center Nurse Practitioner CurrentSince Jan 28, 2025 Accepting new patients
Rochester General Hospital CurrentSince Mar 6, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 23, 2019 Accepting new patients
Community Memorial Hospital CurrentSince Jun 1, 2019 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 23, 2019 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Community Memorial Hospital Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

600 Westage Business Ctr Dr
#D
Fishkill, NY 12524

164 Broad St
Hamilton, NY 13346
Phone (315) 648-6411

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

5 Clay St
Malone, NY 12953
Phone (518) 483-0705

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

181 Lomb Memorial Dr
Rochester, NY 14623
Phone (585) 922-3100

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: mgallagher@cmhhamilton.medentdirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1851641971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S COOLIDGE ST",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "98837",
            "telephone_number": "509-765-0674",
            "fax_number": "509-764-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PARK ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531244",
            "telephone_number": "518-483-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Braod Street",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NY",
            "postal_code": "13346",
            "country_code": "US",
            "telephone_number": "315-825-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 S Coolidge St",
            "address_purpose": "LOCATION",
            "city": "Moses Lake",
            "state": "WA",
            "postal_code": "988371893",
            "country_code": "US",
            "telephone_number": "509-765-0674",
            "fax_number": "509-764-0193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MAUREEN",
        "middle_name": "JOAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "535830",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337487-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60748114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

Verify at the official NPI Registry.