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MR. SHANE DANIEL GALLAGHER PMHNP
NPI 1124541446
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since July 18, 2017PECOS Enrolled
462 1ST AVE, NEW YORK, NY 10016(212) 562-4141 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 3, 2018, May 24, 2018, Jul 18, 2017 (3 updates tracked since 2017).

About Mr. Shane Daniel Gallagher Pmhnp NPPES

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

MR. SHANE DANIEL GALLAGHER PMHNP (NPI 1124541446) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (402369) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1124541446
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. SHANE DANIEL GALLAGHERCredential: PMHNP
Location Address462 1ST AVENew York, NY 10016
Mailing Address462 1st AveNew York, NY 10016-9196
Phone(212) 562-4141
Sole ProprietorYes
Enumeration DateJuly 18, 2017
Last NPPES UpdateJuly 3, 20183 updates tracked since enumeration
✔ NPI 1124541446 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 NY · 402369
Also ListedRegistered NurseTaxonomy 163W00000X · License 703317 (NY)
462 1ST AVE, New York, NY 10016
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Secondary Practice Location 1

Location 1110 Lafayette StNew York, NY 10013-4116 · Phone (212) 369-6757

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shane Daniel Gallagher Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

DR. ROBERT MICHAEL LEMBO MD
Pediatrics (Hospice and Palliative Medicine)
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-6425
MISS SHARONA DEBORAH KASHIMALLAK RPA-C
Physician Assistant (Medical)
462 1ST AVE
NEW YORK, NY 10016
New York County (516) 578-9951
ALEXANDRA KVERNLAND MD
Psychiatry & Neurology (Vascular Neurology)
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-4141
RACHEL ZOE BAUMSTEIN DPT
Physical Therapist
462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016
New York County (212) 562-7059
ALIXANDRA LIN PETERSEN DPT
Physical Therapist
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-7059
ABIGAIL LLOYD
Social Worker
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-4141
TALYA BUXBAUM
Physician Assistant
462 1ST AVE
NEW YORK, NY 10016
New York County (516) 309-3239
MR. ALEX DASILVA NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
462 1ST AVE
NEW YORK, NY 10016
New York County (646) 236-0823

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 Shane Gallagher's NPI number?

The NPI number for Shane Gallagher is 1124541446. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Where is Shane Gallagher located?

Shane Gallagher practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 562-4141.

What is Shane Gallagher's specialty?

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

Is Shane Gallagher enrolled in Medicare?

Yes. Shane Gallagher is registered in the Medicare PECOS enrollment system.

What insurance does Shane Gallagher accept?

Health plans from Providence Health Plan list Shane Gallagher 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.

When was this NPI record last updated?

The NPPES record for Shane Gallagher was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.