KELLY GALLAGHER (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1720536543

KELLY GALLAGHER (AG-ACNP) is a healthcare provider. based in North olmsted, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AG-ACNP. They hold a License No. RN.366982 (OH). The NPI Number for KELLY GALLAGHER (AG-ACNP) is 1720536543

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLY GALLAGHER (AG-ACNP)
NPI
1720536543
Phone
(440) 476-4577
Address
5804 PARK RIDGE DR
Enumeration Date
21 September 2016
Last Update Date
21 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
6103107164
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20170105000910
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for KELLY GALLAGHER (AG-ACNP)

  • 5804, Park Ridge Drive, North Olmsted, Cuyahoga County, Ohio, 44070, United States

    NORTH OLMSTED, OH 440704137

    Phone: (440) 476-4577

    Type: Mailing

  • Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States

    CLEVELAND, OH 441950001

    Phone: (216) 407-7046

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-11-14 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-01-05

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
I20170105000910INurse PractitionerOHTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes15993$0
99291Critical care, first 30-74 minutes5233$0
View full utilization report →

Insurance plans in this area (ZIP 44070)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I use this page to confirm KELLY GALLAGHER (AG-ACNP)'s NPI?
Yes. KELLY GALLAGHER (AG-ACNP) is listed with NPI 1720536543 in the public NPI dataset.
Does the file indicate KELLY GALLAGHER (AG-ACNP) is practicing under active NPI?
Directory data currently reports KELLY GALLAGHER (AG-ACNP) as active.
What healthcare role does KELLY GALLAGHER (AG-ACNP) hold?
Scheduling teams often label KELLY GALLAGHER (AG-ACNP) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does KELLY GALLAGHER (AG-ACNP) serve?
KELLY GALLAGHER (AG-ACNP)'s listing highlights North Olmsted, Ohio; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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