DR. NICOLE MARIE GALLAGHER (M.D.) – Obstetrics & Gynecology Physician, NPI 1376957399

DR. NICOLE MARIE GALLAGHER (M.D.) is a healthcare provider. based in Denver, Colorado. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. DR.0069049 (CO). The NPI Number for DR. NICOLE MARIE GALLAGHER (M.D.) is 1376957399

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE MARIE GALLAGHER (M.D.)
NPI
1376957399
Phone
Not provided
Address
10350 E DAKOTA AVE
Enumeration Date
18 June 2014
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2489975805
Graduation Year
2014 (12 years ago)
PAC ID
0749406825
Group Practice PAC ID
4183673015
Professional Enrollment ID
I20180809000437
Address ID
MI483076116RO1701XEXXX401

Contacts

Secure Messaging
NicoleGallagher@EASTSIDEGYNOB.directglo.com
SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness95
Years active:11State licenses:2Other names

1,735 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for DR. NICOLE MARIE GALLAGHER (M.D.)

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • 29751 LITTLE MACK AVE STE B

    ROSEVILLE, MI 480666504

    Phone: (586) 415-6200

    Fax: (586) 415-6217

    Type: Location

  • 330 BARCLAY AVE NE STE 304

    GRAND RAPIDS, MI 495032527

    Phone: (616) 391-2160

    Type: Mailing

  • 280 EXEMPLA CIR

    LAFAYETTE, CO 800263370

    Phone: (303) 338-4545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $426.

Total Amount is formed as General ($426) + Research ($0) + Ownership ($0) = $426.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($66).

Total Amount

$426

General + Research + Ownership

Payments

18

Total payment records

General Amount

$426

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180809000437IObstetrics/GynecologyMITBD
I20221117000557IObstetrics/GynecologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80247)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183673015View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What federal number belongs to DR. NICOLE MARIE GALLAGHER (M.D.)?
The federal identifier for DR. NICOLE MARIE GALLAGHER (M.D.) is NPI 1376957399.
Is DR. NICOLE MARIE GALLAGHER (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. NICOLE MARIE GALLAGHER (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. NICOLE MARIE GALLAGHER (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. NICOLE MARIE GALLAGHER (M.D.)?
The page summarizes Denver, Colorado for DR. NICOLE MARIE GALLAGHER (M.D.); expand the address list for detail.
How can I contact DR. NICOLE MARIE GALLAGHER (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.