Teisha Alynn Gallegly, FNP-C, AGAC-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0092903 Issued in OK

Practice address

507 NE 12TH St
Moore, OK 73160-5807

Phone

(405) 623-0777

NPI assigned

Oct 18, 2018

Sex

Female

Sole proprietor

No

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.

• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297

  Nurse Practitioner, OK

  Medicare reassignment Care Compare group NPD
• Kiowa County Hospital Authority

  • Rural Acute Care Hospital
  • Hobart, OK
  • NPI 1699758086

  OK

  Medicare reassignment Care Compare group NPD
• Mangum City Hospital Authority

  • Critical Access Hospital
  • Mangum, OK
  • NPI 1033635263

  OK

  Medicare reassignment Care Compare group NPD
• Long Term Care Specialists, Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Oklahoma City, OK
  • NPI 1497761159

  OK

  Medicare reassignment Care Compare group
• Advance Physicians Group

  • Urgent Care Clinic/Center
  • Shawnee, OK
  • NPI 1750395448

  OK

  Medicare reassignment NPD
• Carnegie Tri-County Municipal Hospital Management, Inc

  • General Practice Physician
  • Carnegie, OK
  • NPI 1275657017

  OK

  Medicare reassignment NPD
• Cordell Memorial Hospital 0189

  • Critical Access Hospital
  • Cordell, OK
  • NPI 1750384426

  OK

  Medicare reassignment NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891

  Nurse Practitioner, OK

  Medicare reassignment NPD
• Moore Care LLC

  • Primary Care Clinic/Center
  • Moore, OK
  • NPI 1104379148

  OK

  Medicare reassignment NPD
• SSM Health Care of Oklahoma, Inc

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
  • NPI 1033283932

  OK

  Medicare reassignment NPD
• Mangum City Hospital Authority

  • Rural Health Clinic/Center
  • Mangum, OK
  • NPI 1568978708
  Care Compare group NPD
• Kiowa County Hospital Authority

  • Rural Health Clinic/Center
  • Hobart, OK
  • NPI 1255823282
  Care Compare group NPD (past)
• Carnegie Tri-County Municipal Hospital Management, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Carnegie, OK
  • NPI 1861660920
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kiowa County Hospital Authority

  • Rural Acute Care Hospital
  • Hobart, OK
  • NPI 1699758086

  Hospital

  Care Compare affiliation
• Mangum City Hospital Authority

  • Critical Access Hospital
  • Mangum, OK
  • NPI 1033635263

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc

  • Ambulance
  • Midwest City, OK
  • NPI 1023603727

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mangum City Hospital Authority 10 clinicians

Emergency Physicians of Mid-America PC 86 clinicians

Kiowa County Hospital Authority 9 clinicians

Long Term Care Specialists, Inc 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elkview General Hospital Hospital, Hobart, OK, CCN 370783
• Mangum Regional Medical Center Hospital, Mangum, OK, CCN 371330
• SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094

Medicare fee-for-service enrollment

Enrolled in OK

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tgallegly146542@direct-ehr-ssmhc.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 6, 2022.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1871069724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 NW 144TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131573",
            "telephone_number": "405-623-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 NE 12TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605807",
            "telephone_number": "405-623-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGLY",
        "first_name": "TEISHA",
        "middle_name": "ALYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, AGAC-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0092903",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "92903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaden Frost, PHARMD
• Kory Fry
• Audrey Fuentes
• Terry Furrow
• Nancy Evelyn Gaertner, LMSW
• Jordan Galloway
• Ashley Gallup
• Elizabeth Galo
• Veronica Mercedes Gamboa
• Nicole Rachelle Garber, APRN

• All providers in Moore, OK
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.