THERESA GALLAGHER FNP-BC
NPI 1407221906
Nurse Practitioner in Bay City, MI

Active since December 09, 2015PECOS EnrolledAccepts Medicare Assignment
4 COLUMBUS AVE, BAY CITY, MI 48708(989) 393-2777 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Apr 12, 2023, Dec 9, 2015 (3 updates tracked since 2015).

About Theresa Gallagher Fnp-bc NPPES

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

THERESA GALLAGHER FNP-BC (NPI 1407221906) is an individual nurse practitioner in Bay City, Michigan, licensed in Michigan (4704239694) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407221906
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESA GALLAGHERCredential: FNP-BC
Location Address4 COLUMBUS AVEBay City, MI 48708-6457
Mailing Address4 Columbus AveBay City, MI 48708-6457
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 9, 2015
Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1407221906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704239694
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License RN188556 (AZ)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2396115249 (MI)
4 COLUMBUS AVE, Bay City, MI 48708

Accepted 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

Theresa Gallagher Fnp-bc 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 ID9739547977
PECOS Enrollment IDI20230621001871
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 3

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
38 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Mclaren Caro Region

Critical Access Hospitals · Caro, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231329
Location401 N Hooper StCaro, MI 48723 · Tuscola County
Emergency services

Mclaren Thumb Region

Critical Access Hospitals · Bad Axe, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231340
Location1100 S Van Dyke RdBad Axe, MI 48413 · Huron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48708 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

Clinic/Center (Urgent Care)
4 COLUMBUS AVE
BAY CITY, MI 48708
Orthopaedic Surgery
4 COLUMBUS AVE, SUITE 160
BAY CITY, MI 48708
Orthopaedic Surgery
4 COLUMBUS AVE, SUITE 160
BAY CITY, MI 48708

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 Theresa Gallagher's NPI number?

The NPI number for Theresa Gallagher is 1407221906. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Where is Theresa Gallagher located?

Theresa Gallagher practices at 4 Columbus Ave, Bay City, MI 48708. The listed phone number is (989) 393-2777.

What is Theresa Gallagher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Theresa Gallagher enrolled in Medicare?

Yes. Theresa Gallagher 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 Theresa Gallagher accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Theresa 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.

Is Theresa Gallagher affiliated with any hospitals?

According to CMS data, Theresa Gallagher is affiliated with Mclaren Bay Region, Covenant Medical Center, Mclaren Caro Region and Mclaren Thumb Region.

When was this NPI record last updated?

The NPPES record for Theresa Gallagher was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.