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DENISE LYNN GALLUS PA
NPI 1720618374
Physician Assistant - Medical in Prescott, AZ

Active since January 23, 2020PECOS Enrolled
1000 WILLOW CREEK RD STE E, PRESCOTT, AZ 86301(928) 583-7887 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2026, Jan 23, 2020 (2 updates tracked since 2020).

About Denise Lynn Gallus Pa NPPES

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

DENISE LYNN GALLUS PA (NPI 1720618374) is an individual medical provider in Prescott, Arizona, licensed in Arizona (1900) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1720618374
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDENISE LYNN GALLUSCredential: PA
Location Address1000 WILLOW CREEK RD STE EPrescott, AZ 86301-1645
Mailing Address1264 Crown Ridge DrPrescott, AZ 86301-6556 · (928) 899-0192
Phone(928) 583-7887
Sole ProprietorNo
Enumeration DateJanuary 23, 2020
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1720618374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 1900
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 1900 (AZ)
1000 WILLOW CREEK RD STE E, Prescott, AZ 86301
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Other Names 1

Former Name (1)Denise Lynn Clem Pa

Secondary Practice Location 1

Location 122601 N 19th Ave Ste 112Phoenix, AZ 85027-1324 · Phone (602) 582-1704

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Lynn Gallus Pa 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.

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 Denise Gallus's NPI number?

The NPI number for Denise Gallus is 1720618374. It was assigned to this individual provider in the NPPES registry on January 23, 2020. The provider is also known as Denise Lynn Clem PA.

Where is Denise Gallus located?

Denise Gallus practices at 1000 Willow Creek Rd Ste E, Prescott, AZ 86301. The listed phone number is (928) 583-7887.

What is Denise Gallus's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Denise Gallus enrolled in Medicare?

Yes. Denise Gallus is registered in the Medicare PECOS enrollment system.

What insurance does Denise Gallus accept?

Health plans from Blue Cross Blue Shield of Arizona list Denise Gallus 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 Denise Gallus was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.