Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ASHLEY RAE GALLINA APRN, CNM, FNP-C
NPI 1619667656
Nurse Practitioner - Family in Fox Lake, IL

Active since May 12, 2023PECOS EnrolledAccepts Medicare Assignment
7227 STATE PARK RD, FOX LAKE, IL 60020(815) 363-2020(949) 703-8263 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2025, Dec 10, 2024, Nov 15, 2024 and 1 more (4 updates tracked since 2023).

About Ashley Rae Gallina Aprn, Cnm, Fnp-c NPPES

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

ASHLEY RAE GALLINA APRN, CNM, FNP-C (NPI 1619667656) is an individual family provider in Fox Lake, Illinois, licensed in Illinois (209.031083) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ingleside, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619667656
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY RAE GALLINACredential: APRN, CNM, FNP-C
Location Address7227 STATE PARK RDFox Lake, IL 60020-1027
Mailing Address7227 State Park RdFox Lake, IL 60020-1027 · (815) 363-2020 · Fax (949) 703-8263
Fax(949) 703-8263
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 12, 2023
Last NPPES UpdateJune 22, 20264 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
NPI 1619667656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.031083
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 209024423 (IL)
7227 STATE PARK RD, Fox Lake, IL 60020

Secondary Practice Location 1

Location 1214 Washington St Ste 1Ingleside, IL 60041-9208 · Phone (815) 363-2020 · Fax (224) 225-1003

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

Ashley Rae Gallina Aprn, Cnm, Fnp-c 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 ID5991227282
PECOS Enrollment IDI20250317000193
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 60020 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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

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

Nurse Practitioner (Family)
7227 STATE PARK RD
FOX LAKE, IL 60020

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 Ashley Gallina's NPI number?

The NPI number for Ashley Gallina is 1619667656. It was assigned to this individual provider in the NPPES registry on May 12, 2023.

Where is Ashley Gallina located?

Ashley Gallina practices at 7227 State Park Rd, Fox Lake, IL 60020. The listed phone number is (815) 363-2020.

What is Ashley Gallina's specialty?

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

Is Ashley Gallina enrolled in Medicare?

Yes. Ashley Gallina 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.

When was this NPI record last updated?

The NPPES record for Ashley Gallina was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.