FALLON GALLAGHER CRNP
NPI 1750994612
Nurse Practitioner - Pediatrics in Philadelphia, PA
About Fallon Gallagher Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FALLON GALLAGHER CRNP (NPI 1750994612) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP027747) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fallon Gallagher Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Fallon Gallagher reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,225 clinicians in this Medicare group
Richland, WA 99352
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: The Association Of Chrmc And University Physicians
- 1,443 clinicians in this Medicare group
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Seattle Childrens Hospital
- 912 clinicians in this Medicare group
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 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Fallon Gallagher's NPI number?
The NPI number for Fallon Gallagher is 1750994612. It was assigned to this individual provider in the NPPES registry on August 28, 2020.
Where is Fallon Gallagher located?
Fallon Gallagher practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1000.
What is Fallon Gallagher's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Fallon Gallagher enrolled in Medicare?
Yes. Fallon Gallagher is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Fallon Gallagher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fallon Gallagher reassigns Medicare benefits to 3 organizations: Childrens Health Care Associates, Inc (Philadelphia, PA), Association Of Chmc And University Physicians (Richland, WA) and Seattle Children's Hospital (Seattle, WA). 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 Fallon Gallagher'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 Fallon Gallagher was last updated on October 17, 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.
# Fallon Gallagher, CRNP · NPI 1750994612
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 28, 2020.
## Identity
- **NPI:** 1750994612 (Entity type: Individual)
- **Enumerated:** August 28, 2020
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP027747 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Childrens Health Care Associates, Inc (NPI 1033204086, Philadelphia, PA); Association Of Chmc And University Physicians (NPI 1851680664, Richland, WA); Seattle Children's Hospital (NPI 1003319500, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750994612) · Data from the CMS NPPES public registry.