AUTUMN BAILEY GALLIMORE
NPI 1962367714
Nurse Practitioner - Family in London, KY

Q: What is Autumn Gallimore's NPI number?

The NPI number for Autumn Gallimore is 1962367714. It was assigned to this individual provider in the NPPES registry on December 23, 2025. The provider is also known as Autumn Bailey Mcclelland.

Q: What is Autumn Gallimore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Autumn Gallimore was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 23, 2025PECOS Enrolled

803 MEYERS BAKER RD STE 200, LONDON, KY 40741(606) 878-3240 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2026, Dec 23, 2025 (2 updates tracked since 2025).

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About Autumn Bailey Gallimore NPPES

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

AUTUMN BAILEY GALLIMORE (NPI 1962367714) is an individual family provider in London, Kentucky, licensed in Kentucky (4004407) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1962367714

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAUTUMN BAILEY GALLIMORE

Location Address803 MEYERS BAKER RD STE 200London, KY 40741-3040

Mailing Address811 Keller RdLondon, KY 40741-7684 · (276) 870-1165

Phone(606) 878-3240

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 23, 2025

Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2026

✔ NPI 1962367714 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 KY · 4004407

803 MEYERS BAKER RD STE 200, London, KY 40741

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Other Names 1

Former Name (1)Autumn Bailey Mcclelland

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Bailey Gallimore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800363276

PECOS Enrollment IDI20260423001615

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 11

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

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