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MISTY JO GALLEGOS APRN, CPNP-PC
NPI 1629796982
Nurse Practitioner - Pediatrics in Lafayette, IN

Active since August 22, 2022PECOS Enrolled
2600 GREENBUSH ST, LAFAYETTE, IN 47904(765) 448-8000 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2023, Aug 22, 2022 (2 updates tracked since 2022).

About Misty Jo Gallegos Aprn, Cpnp-pc NPPES

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

MISTY JO GALLEGOS APRN, CPNP-PC (NPI 1629796982) is an individual pediatrics provider in Lafayette, Indiana, licensed in Indiana (71014809A) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1629796982
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMISTY JO GALLEGOSCredential: APRN, CPNP-PC
Location Address2600 GREENBUSH STLafayette, IN 47904-2477
Mailing Address1101 Lambsdowne LnWest Lafayette, IN 47906-8717 · (707) 628-5827
Phone(765) 448-8000
Sole ProprietorNo
Enumeration DateAugust 22, 2022
Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1629796982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in IN · 71014809A✔ Licensed in IN · 28152890A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28152890A (IN), 604722 (CA)
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 28152890C (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 28152890A (IN)
2600 GREENBUSH ST, Lafayette, IN 47904
Open in Google Maps ↗

Other Names 1

Former Name (1)Misty Jo Mapes Rn

Secondary Practice Location 1

Location 15165 McCarty LnLafayette, IN 47905-8764 · Phone (765) 838-5333

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty Jo Gallegos Aprn, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Misty Gallegos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arnett Clinic, LLC
Same address
Clinical Medical Laboratory
2600 GREENBUSH ST
Lafayette, IN 47904
  • Reassigned Medicare billing, Indiana enrollment
  • 671 clinicians in this Medicare group
NPI 1881655090 (765) 448-8000
Iu Health Medical Group, LLC
58 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47904 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

MICHELLE B HERBERTS MD
Internal Medicine (Critical Care Medicine)
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
KATHRYN LOUISE STUCKER MD
Student in an Organized Health Care Education/Training Program
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
ROGER E. BROWN CRNA
Nurse Anesthetist, Certified Registered
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
DR. DAVID W KELLEY D.O.
Anesthesiology
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
DR. CARLOS SALAZAR CARCAMO M.D.
Internal Medicine
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
CARLOS A GAMBIRAZIO MD
Internal Medicine
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
HAILEY C SMALL MS CF-SLP
Speech-Language Pathologist
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
MRS. ERIN WRIGHT RDN, CD
Dietitian, Registered
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000

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 Misty Gallegos's NPI number?

The NPI number for Misty Gallegos is 1629796982. It was assigned to this individual provider in the NPPES registry on August 22, 2022. The provider is also known as Misty Jo Mapes Rn.

Where is Misty Gallegos located?

Misty Gallegos practices at 2600 Greenbush St, Lafayette, IN 47904. The listed phone number is (765) 448-8000.

What is Misty Gallegos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Misty Gallegos enrolled in Medicare?

Yes. Misty Gallegos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Misty Gallegos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Gallegos reassigns Medicare benefits to 2 organizations: Arnett Clinic, LLC (Lafayette, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Misty Gallegos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Gallegos accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Misty Gallegos 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.

When was this NPI record last updated?

The NPPES record for Misty Gallegos was last updated on January 16, 2024. 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.