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ELLEN E GALLAGHER NP
NPI 1255377461
Nurse Practitioner - Women's Health in Latham, NY

Active since June 22, 2006PECOS Enrolled
585 NEW LOUDON ROAD, LATHAM, NY 12110(518) 783-1472(518) 783-1605 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ellen E Gallagher Np NPPES

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

ELLEN E GALLAGHER NP (NPI 1255377461) is an individual women's health provider in Latham, New York, licensed in New York (420421) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255377461
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameELLEN E GALLAGHERCredential: NP
Location Address585 NEW LOUDON ROADLatham, NY 12110
Mailing Address585 New Loudon RoadWatervliet, NY 12189 · (518) 783-1472 · Fax (518) 783-1605
Phone(518) 783-1472
Fax(518) 783-1605
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateNovember 2, 2016
✔ NPI 1255377461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NY · 420421
585 NEW LOUDON ROAD, Latham, NY 12110
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Other Names 1

Other Name (5)Ellen E Gallagher Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen E Gallagher Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Ellen Gallagher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

W Bruce Clark MD PC
1.7 mi
Obstetrics & Gynecology
585 NEW LOUDON RD
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
NPI 1396959110 (518) 783-1472

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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

ROBYN RUTKIEWICZ
Nurse Practitioner (Obstetrics & Gynecology)
585 NEW LOUDON ROAD
LATHAM, NY 12110
Albany County (518) 783-1472
DEBRA B RAPPAZZO NP
Nurse Practitioner (Obstetrics & Gynecology)
585 NEW LOUDON ROAD
LATHAM, NY 12110
Albany County (518) 783-1472
KRISTINE ANN KLEIN MD
Obstetrics & Gynecology
585 NEW LOUDON ROAD
LATHAM, NY 12110
Albany County (518) 783-1472
SUSAN LYNN MOLLARD NP
Nurse Practitioner (Obstetrics & Gynecology)
585 NEW LOUDON ROAD
LATHAM, NY 12110
Albany County (518) 783-1472

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 Ellen Gallagher's NPI number?

The NPI number for Ellen Gallagher is 1255377461. It was assigned to this individual provider in the NPPES registry on June 22, 2006. The provider is also known as Ellen E Gallagher Np.

Where is Ellen Gallagher located?

Ellen Gallagher practices at 585 New Loudon Road, Latham, NY 12110. The listed phone number is (518) 783-1472.

What is Ellen Gallagher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Ellen Gallagher enrolled in Medicare?

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

Which organization bills Medicare for Ellen Gallagher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Gallagher reassigns Medicare benefits to W Bruce Clark MD PC (Latham, NY). The 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 Ellen Gallagher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellen Gallagher was last updated on November 2, 2016. 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.