SHELLEY GALLIVAN NP
NPI 1083807606
Nurse Practitioner - Psychiatric/Mental Health in Mountain View, CA

Active since August 27, 2007PECOS EnrolledAccepts Medicare Assignment
1503 GRANT RD STE 110, MOUNTAIN VIEW, CA 94040(650) 484-1213 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2022, Oct 22, 2018 (2 updates tracked since 2018).

About Shelley Gallivan Np NPPES

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

SHELLEY GALLIVAN NP (NPI 1083807606) is an individual psychiatric/mental health provider in Mountain View, California, licensed in California (17816) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083807606
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHELLEY GALLIVANCredential: NP
Location Address1503 GRANT RD STE 110Mountain View, CA 94040-3270
Mailing Address1503 Grant Rd Ste 110Mountain View, CA 94040-3270 · (650) 484-1213
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 27, 2007
Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1083807606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 17816
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License 17816 (CA), 041328453 (IL)
1503 GRANT RD STE 110, Mountain View, CA 94040

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

Shelley Gallivan Np 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 ID6103179114
PECOS Enrollment IDI20221031001032
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94040 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Other Providers at the Same Location NPPES 15

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

Marriage & Family Therapist
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Student in an Organized Health Care Education/Training Program
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Marriage & Family Therapist
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Rehabilitation Practitioner
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Rehabilitation Practitioner
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Rehabilitation Practitioner
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Psychologist
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040
Marriage & Family Therapist
1503 GRANT RD STE 110
MOUNTAIN VIEW, CA 94040

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 Shelley Gallivan's NPI number?

The NPI number for Shelley Gallivan is 1083807606. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Shelley Gallivan located?

Shelley Gallivan practices at 1503 Grant Rd Ste 110, Mountain View, CA 94040. The listed phone number is (650) 484-1213.

What is Shelley Gallivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shelley Gallivan enrolled in Medicare?

Yes. Shelley Gallivan 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.

When was this NPI record last updated?

The NPPES record for Shelley Gallivan was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.