LISA JOY GALLMORE (N.P.) – Nurse Practitioner, NPI 1629167341

LISA JOY GALLMORE (N.P.) is a healthcare provider. based in Westland, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 4704225922 (MI). The NPI Number for LISA JOY GALLMORE (N.P.) is 1629167341

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LISA JOY GALLMORE (N.P.)
NPI
1629167341
Phone
(734) 728-2130
Address
6149 N WAYNE RD
Enumeration Date
12 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7345084569
Graduation Year
2005 (21 years ago)
PAC ID
4587697677
Group Practice PAC ID
2163798877
Professional Enrollment ID
I20050919000458
Address ID
MI480053237AR22600STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for LISA JOY GALLMORE (N.P.)

  • 6149, North Wayne Road, Westland, Wayne County, Michigan, 48185, United States

    WESTLAND, MI 481857128

    Phone: (734) 728-2130

    Fax: (734) 728-2626

    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: 2005-09-19

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
I20050919000458INurse PractitionerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes21477$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes18076$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes3915$0
View full utilization report →

Insurance plans in this area (ZIP 48185)

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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: 2163798877View full group profile

Reviews

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Frequently asked questions

What is the registry number for LISA JOY GALLMORE (N.P.)?
The registry entry for LISA JOY GALLMORE (N.P.) shows NPI 1629167341.
Is LISA JOY GALLMORE (N.P.) currently accepting referrals based on NPI status?
Registry metadata lists LISA JOY GALLMORE (N.P.) as active.
What does the directory say LISA JOY GALLMORE (N.P.) does?
Insurance directories may phrase it differently, but here LISA JOY GALLMORE (N.P.) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to LISA JOY GALLMORE (N.P.)?
LISA JOY GALLMORE (N.P.) shows a connection to Westland, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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