MR. RYAN T GALLAGHER (APN-CNP) – Nurse Practitioner, NPI 1750124111

MR. RYAN T GALLAGHER (APN-CNP) is a healthcare provider. based in Addison, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN-CNP. They hold a License No. 209.029542 (IL). The NPI Number for MR. RYAN T GALLAGHER (APN-CNP) is 1750124111

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. RYAN T GALLAGHER (APN-CNP)
NPI
1750124111
Phone
(331) 221-1650
Address
303 W LAKE ST STE 301
Enumeration Date
14 June 2024
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
6305379371
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20241029003436
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MR. RYAN T GALLAGHER (APN-CNP)

  • 303 W LAKE ST STE 301

    ADDISON, IL 601012565

    Phone: (331) 221-1650

    Fax: (331) 221-2710

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20241029003436INurse PractitionerILTBD

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 60101)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Can I verify MR. RYAN T GALLAGHER (APN-CNP) with an NPI only?
You can start verification with NPI 1750124111 for MR. RYAN T GALLAGHER (APN-CNP), then check state licensing separately.
Does the file indicate MR. RYAN T GALLAGHER (APN-CNP) is practicing under active NPI?
Directory data currently reports MR. RYAN T GALLAGHER (APN-CNP) as active.
What is MR. RYAN T GALLAGHER (APN-CNP) best known for clinically?
Directory data describes MR. RYAN T GALLAGHER (APN-CNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MR. RYAN T GALLAGHER (APN-CNP) based?
MR. RYAN T GALLAGHER (APN-CNP) is tied to Addison, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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