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MIA GALLUCH FNP
NPI 1750116471
Nurse Practitioner - Family in Chicago, IL

Active since September 03, 2024PECOS Enrolled
2662 N LINCOLN AVE, CHICAGO, IL 60614(773) 657-5111(773) 295-1182 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2026, Sep 10, 2024, Sep 3, 2024 (3 updates tracked since 2024).

About Mia Galluch Fnp NPPES

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

MIA GALLUCH FNP (NPI 1750116471) is an individual family provider in Chicago, Illinois, licensed in Ohio (0037442) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750116471
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIA GALLUCHCredential: FNP
Location Address2662 N LINCOLN AVEChicago, IL 60614-1307
Mailing Address2662 N Lincoln AveChicago, IL 60614-1307 · (773) 657-5111 · Fax (773) 295-1182
Phone(773) 657-5111
Fax(773) 295-1182
Sole ProprietorYes
Enumeration DateSeptember 3, 2024
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1750116471 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 OH · 0037442
2662 N LINCOLN AVE, Chicago, IL 60614
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Innovative Platinum Care, Sc
0.7 mi
Family Medicine
2400 N ASHLAND AVE, SUITE 150
Chicago, IL 60614
  • Reassigned Medicare billing, Illinois enrollment
  • 29 clinicians in this Medicare group
NPI 1114397056 (773) 270-5600
Medical And Surgical Associates Inc
301 mi
Family Medicine
1930 TAMARACK RD
Newark, OH 43055
  • Reassigned Medicare billing, Ohio enrollment
  • 20 clinicians in this Medicare group
NPI 1881787307 (740) 522-7600

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 60614 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 3

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

ALEXANDRA MARIE HOLMES APRN, FNP-C
Nurse Practitioner
2662 N LINCOLN AVE
CHICAGO, IL 60614
Cook County (773) 657-5111
KATHERINE WASHAGAN PA-C
Physician Assistant (Medical)
2662 N LINCOLN AVE
CHICAGO, IL 60614
Cook County (847) 795-0900
MEDICAL SUPPLY DEPOT
Durable Medical Equipment & Medical Supplies
2662 N LINCOLN AVE
CHICAGO, IL 60614
Cook County (773) 868-3994

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 Mia Galluch's NPI number?

The NPI number for Mia Galluch is 1750116471. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Mia Galluch located?

Mia Galluch practices at 2662 N Lincoln Ave, Chicago, IL 60614. The listed phone number is (773) 657-5111.

What is Mia Galluch's specialty?

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

Is Mia Galluch enrolled in Medicare?

Yes. Mia Galluch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mia Galluch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mia Galluch reassigns Medicare benefits to 2 organizations: Innovative Platinum Care, Sc (Chicago, IL) and Medical And Surgical Associates Inc (Newark, OH). 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 Mia Galluch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mia Galluch was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.