1. Home
  2. Directory
  3. New Jersey
  4. Somers Point
  5. Nurse Practitioner
  6. NPI Profile

DENYSE GALLAGHER
NPI 1588075055
Nurse Practitioner - Family in Somers Point, NJ

Active since May 18, 2014PECOS EnrolledAccepts Medicare Assignment
18 W NEW YORK AVE, SOMERS POINT, NJ 08244(609) 365-5300(609) 365-5302 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2022, Jun 9, 2022 (2 updates tracked since 2022).

About Denyse Gallagher NPPES

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

DENYSE GALLAGHER (NPI 1588075055) is an individual family provider in Somers Point, New Jersey, licensed in New Jersey (26NJ00495900) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Shore Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1588075055
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDENYSE GALLAGHER
Location Address18 W NEW YORK AVESomers Point, NJ 08244-1872
Mailing Address1 E. New York Ave, 4th Floor AdminSomers Point, NJ 08244-1872 · (609) 653-3265 · Fax (609) 926-4311
Phone(609) 365-5300
Fax(609) 365-5302
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 18, 2014
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1588075055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00495900
18 W NEW YORK AVE, Somers Point, NJ 08244
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Denyse Gallagher 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 ID941511265
PECOS Enrollment IDI20150612001031
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 Reassignments

2

Medicare enrollment records show Denyse Gallagher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shore Specialty Consultants
0.1 mi
Multi-Specialty
649 SHORE RD
Somers Point, NJ 08244
  • Reassigned Medicare billing, New Jersey enrollment
  • 51 clinicians in this Medicare group
NPI 1962808519 (609) 653-3500
Atlanticare Physician Group PA
8.5 mi
Clinic/Center
2500 ENGLISH CREEK AVE STE 602
Egg Harbor Township, NJ 08234
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group
NPI 1093829608 (800) 658-1010

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

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
498 services241 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
211 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310047
Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08244 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers75 claims932 services$17.98 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers79 claims2,625 services$2.29 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
28 suppliers99 claims354 services$6.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers37 claims76 services$1.11 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers43 claims43 services$305.31 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
12 suppliers34 claims4,870 services$7.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

TIFFANY MARI RIOS RD, CDE
Dietitian, Registered
18 W NEW YORK AVE
SOMERS POINT, NJ 08244
Atlantic County (609) 365-5300
DR. VIJAY BABU BALAKRISHNAN M.D., CCD.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
18 W NEW YORK AVE
SOMERS POINT, NJ 08244
Atlantic County (609) 365-5300

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 Denyse Gallagher's NPI number?

The NPI number for Denyse Gallagher is 1588075055. It was assigned to this individual provider in the NPPES registry on May 18, 2014.

Where is Denyse Gallagher located?

Denyse Gallagher practices at 18 W New York Ave, Somers Point, NJ 08244. The listed phone number is (609) 365-5300.

What is Denyse Gallagher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Denyse Gallagher enrolled in Medicare?

Yes. Denyse 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.

Which organizations bill Medicare for Denyse Gallagher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denyse Gallagher reassigns Medicare benefits to 2 organizations: Shore Specialty Consultants (Somers Point, NJ) and Atlanticare Physician Group PA (Egg Harbor Township, NJ). 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 Denyse Gallagher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denyse Gallagher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Denyse 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 Denyse Gallagher affiliated with any hospitals?

According to CMS data, Denyse Gallagher is affiliated with Shore Medical Center.

When was this NPI record last updated?

The NPPES record for Denyse Gallagher was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.