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LISA MARIE GALLO FNP-BC
NPI 1679247076
Nurse Practitioner - Family in Manchester, NH

Active since August 09, 2021PECOS Enrolled
275 MAMMOTH RD STE 3, MANCHESTER, NH 03109(603) 663-8400(603) 663-8400 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Apr 10, 2024, Nov 15, 2023 and 3 more (6 updates tracked since 2021).

About Lisa Marie Gallo Fnp-bc NPPES

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

LISA MARIE GALLO FNP-BC (NPI 1679247076) is an individual family provider in Manchester, New Hampshire, licensed in New Hampshire (081024-23) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679247076
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MARIE GALLOCredential: FNP-BC
Location Address275 MAMMOTH RD STE 3Manchester, NH 03109-4133
Mailing Address275 Mammoth Rd Ste 3Manchester, NH 03109-4133 · (603) 663-8400 · Fax (603) 663-8400
Phone(603) 663-8400
Fax(603) 663-8400
Sole ProprietorNo
Enumeration DateAugust 9, 2021
Last NPPES UpdateApril 16, 20246 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1679247076 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 NH · 081024-23
275 MAMMOTH RD STE 3, Manchester, NH 03109
Open in Google Maps ↗

Other Names 1

Former Name (1)Lisa Marie Costello Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Marie Gallo Fnp-bc 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.

Areas of Expertise CMS Part B claims

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.

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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03109 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 2

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

ELIZABETH B MITCHELL APRN, FNP-BC
Nurse Practitioner (Family)
275 MAMMOTH RD STE 3
MANCHESTER, NH 03109
Hillsborough County (603) 663-8400
JUNIOR JEAN MSW
Social Worker
275 MAMMOTH RD STE 3
MANCHESTER, NH 03109
Hillsborough County (201) 539-4824

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 Lisa Gallo's NPI number?

The NPI number for Lisa Gallo is 1679247076. It was assigned to this individual provider in the NPPES registry on August 9, 2021. The provider is also known as Lisa Marie Costello Fnp.

Where is Lisa Gallo located?

Lisa Gallo practices at 275 Mammoth Rd Ste 3, Manchester, NH 03109. The listed phone number is (603) 663-8400.

What is Lisa Gallo's specialty?

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

Is Lisa Gallo enrolled in Medicare?

Yes. Lisa Gallo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Gallo was last updated on April 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.