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ERICA GALLEN
NPI 1013319417
Nurse Practitioner - Family in Santa Barbara, CA

Active since September 17, 2014PECOS EnrolledAccepts Medicare Assignment
517 W JUNIPERO ST, SANTA BARBARA, CA 93105(805) 979-4650(805) 685-2802 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Erica Gallen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICA GALLEN (NPI 1013319417) is an individual family provider in Santa Barbara, California, licensed in California (NP95001245) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Southwestern Vermont Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1013319417
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA GALLEN
Location Address517 W JUNIPERO STSanta Barbara, CA 93105-4239
Mailing Address517 W Junipero StSanta Barbara, CA 93105-4239 · (805) 682-8844 · Fax (805) 682-6499
Phone(805) 979-4650
Fax(805) 685-2802
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 17, 2014
Last NPPES UpdateOctober 29, 2015
✔ NPI 1013319417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95001245
517 W JUNIPERO ST, Santa Barbara, CA 93105
Open in Google Maps ↗

Other Identifiers 2

OtherRN95034663CA · Rn License
OtherNP95001245CA · Np License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erica Gallen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941598775
PECOS Enrollment IDI20161011003023
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
147 services134 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
119 services91 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470012
Location100 Hospital DriveBennington, VT 05201 · Bennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$192.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMIR-MOHAMMAD JALILIAN-NOSRATY MD
Family Medicine
517 W JUNIPERO ST
SANTA BARBARA, CA 93105
Santa Barbara County (805) 682-8844
MR. WILLIAM NICOL GUDDAL MD
Family Medicine
517 W JUNIPERO ST
SANTA BARBARA, CA 93105
Santa Barbara County (805) 682-8844
JACKSON & ENGBERG MEDICAL CORPORATION
Family Medicine
517 W JUNIPERO ST
SANTA BARBARA, CA 93105
Santa Barbara County (805) 682-8844
MS. KATHERINE LEE GODFREY BENARON FNP
Family Medicine
517 W JUNIPERO ST
SANTA BARBARA, CA 93105
Santa Barbara County (805) 682-8844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erica Gallen's NPI number?

The NPI number for Erica Gallen is 1013319417. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Where is Erica Gallen located?

Erica Gallen practices at 517 W Junipero St, Santa Barbara, CA 93105. The listed phone number is (805) 979-4650.

What is Erica Gallen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erica Gallen enrolled in Medicare?

Yes. Erica Gallen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Erica Gallen accept?

Health plans from Anthem Blue Cross and Blue Shield list Erica Gallen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Erica Gallen affiliated with any hospitals?

According to CMS data, Erica Gallen is affiliated with Southwestern Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for Erica Gallen was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.