MARISSA GALLER NP
NPI 1154632347
Nurse Practitioner - Adult Health in Dearborn, MI
About Marissa Galler Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA GALLER NP (NPI 1154632347) is an individual adult health provider in Dearborn, Michigan, licensed in Michigan (4704274708) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Rutgers New Jersey Medical School (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marissa Galler 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.
Medicare Billing Reassignments
3Medicare enrollment records show Marissa Galler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- 255 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
DEARBORN, MI 48124
DEARBORN, MI 48124
DEARBORN, MI 48124
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 Marissa Galler's NPI number?
The NPI number for Marissa Galler is 1154632347. It was assigned to this individual provider in the NPPES registry on June 23, 2010.
Where is Marissa Galler located?
Marissa Galler practices at 18101 Oakwood Blvd, Dearborn, MI 48124. The listed phone number is (313) 982-5770.
What is Marissa Galler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Marissa Galler enrolled in Medicare?
Yes. Marissa Galler 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.
Which organizations bill Medicare for Marissa Galler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Galler reassigns Medicare benefits to 3 organizations: North Shore-Lij Medical PC (Great Neck, NY), John T. Mather Memorial Hospital (Port Jefferson, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Galler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Marissa Galler affiliated with any hospitals?
According to CMS data, Marissa Galler is affiliated with John T Mather Memorial Hospital Of Port Jefferson.
When was this NPI record last updated?
The NPPES record for Marissa Galler was last updated on June 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Marissa Galler, NP · NPI 1154632347
Adult Health physician in Dearborn, Michigan. Individual provider, active in the CMS NPPES registry since June 23, 2010.
## Identity
- **NPI:** 1154632347 (Entity type: Individual)
- **Enumerated:** June 23, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 4704274708 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 18101 OAKWOOD BLVD, Dearborn, MI 48124-4089
- **Phone:** (313) 982-5770
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); John T. Mather Memorial Hospital (NPI 1467249334, Port Jefferson, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2010
## Record status
- **NPPES last updated:** June 23, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1154632347) · Data from the CMS NPPES public registry.