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ALLIE PANGALLO
NPI 1407609688
Physician Assistant in Edgewood, KY

Active since April 08, 2024PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(610) 477-6147 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2025, Nov 12, 2024, Apr 8, 2024 (3 updates tracked since 2024).

About Allie Pangallo NPPES

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

ALLIE PANGALLO (NPI 1407609688) is an individual physician assistant in Edgewood, Kentucky and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and maintains a secondary practice location in Crestview Hills.

NPPES Registry Identity

NPI1407609688
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALLIE PANGALLO
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing Address8538 Strimple RdCleves, OH 45002-9780 · (513) 263-0335
Phone(610) 477-6147
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 8, 2024
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1407609688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 MEDICAL VILLAGE DR, Edgewood, KY 41017
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Secondary Practice Location 1

Location 1375 Thomas More Pkwy Ste 209Crestview Hills, KY 41017-2175 · Phone (859) 331-4369

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Allie Pangallo 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 ID4880117332
PECOS Enrollment IDI20250326000704, I20250328000332, I20250401000855
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.

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181311
Location238 Barnes RoadWilliamstown, KY 41097 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

CARA LINDSAY HANSEN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. COURTNEY E COFFEY PA-C
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-9010
DR. KELLY ANN MACKESSY DO
Surgery (Surgical Oncology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
LYNDSEY LANG MS, RN, NNP-BC
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2423
MS. STEPHANIE ANNE STEGMAN CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MICHELLE F PANDIT MD
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2250
ELLE KAISER DNP,CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-2000
MRS. ANITA KAY PHILLIPS ARNP-C
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 301-8074

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 Allie Pangallo's NPI number?

The NPI number for Allie Pangallo is 1407609688. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Allie Pangallo located?

Allie Pangallo practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (610) 477-6147.

What is Allie Pangallo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Allie Pangallo enrolled in Medicare?

Yes. Allie Pangallo 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 Allie Pangallo accept?

Health plans from CareSource list Allie Pangallo 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 Allie Pangallo affiliated with any hospitals?

According to CMS data, Allie Pangallo is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.

When was this NPI record last updated?

The NPPES record for Allie Pangallo was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.