JESSICA RAYE GALLIMORE NP
NPI 1497388490
Nurse Practitioner in Charlotte, NC

Q: What is Jessica Gallimore's NPI number?

The NPI number for Jessica Gallimore is 1497388490. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Q: What is Jessica Gallimore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Gallimore was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 18, 2020PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1255 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Mar 24, 2026, Jul 16, 2024 and 25 more (28 updates tracked since 2020).

On this page

About Jessica Raye Gallimore Np NPPES

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

JESSICA RAYE GALLIMORE NP (NPI 1497388490) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5012884) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497388490

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJESSICA RAYE GALLIMORECredential: NP

Location Address1350 S KINGS DRCharlotte, NC 28207-2134

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 446-1255

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 18, 2020

Last NPPES UpdateApril 17, 202628 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1497388490 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 NC · 5012884

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 ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5012884 (NC)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5012884 (NC)

1350 S KINGS DR, Charlotte, NC 28207

Open in Google Maps ↗

Secondary Practice Locations 5

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-4490

Location 21237 Harding Pl, Ste 3100Charlotte, NC 28204 · Phone (704) 373-0212

Location 310650 Park RdCharlotte, NC 28210-8538 · Phone (704) 667-3840

Location 42100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 744-4400 · Fax (252) 744-7623

Location 5200 Medical Park Dr, Ste 230Concord, NC 28025-2982 · Phone (704) 403-1349

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.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

Jessica Raye Gallimore 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.

PECOS PAC ID8527497247

PECOS Enrollment IDI20200401001282

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 28207 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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.

KRISTINA JASMIN HARRELL MD

Pediatrics (Pediatric Hematology-Oncology)