ODESSA M GALLETT (RDCD) – Registered Dietitian, NPI 1245241272

ODESSA M GALLETT (RDCD) is a healthcare provider. based in Medford, Wisconsin. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RDCD. They hold a License No. 1752 (WI). The NPI Number for ODESSA M GALLETT (RDCD) is 1245241272

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
ODESSA M GALLETT (RDCD)
NPI
1245241272
Phone
(715) 748-2121
Address
143 SOUTH GIBSON STREET
Enumeration Date
11 August 2006
Last Update Date
13 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7154478293
Graduation Year
2003 (23 years ago)
PAC ID
3870522253
Group Practice PAC ID
5799688602
Professional Enrollment ID
I20050805000443
Address ID
WI544339674GI320XXSTXX400
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

207 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in WI

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Provider Addresses for ODESSA M GALLETT (RDCD)

  • 143, South Gibson Street, Medford, Taylor County, Wisconsin, 54451, United States

    MEDFORD, WI 544511622

    Phone: (715) 748-2121

    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: 2005-08-05

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
I20050805000443IRegistered Dietitian Or Nutrition ProfessionalWITBD

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 54451)

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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: 5799688602View full group profile
NameSpecialtyState
Nurse PractitionerWI
-WI
General SurgeryWI
-WI
General SurgeryHI
-WI
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)NJ
-WI
-WI
General SurgeryWI

Reviews

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Frequently asked questions

Can I use this page to confirm ODESSA M GALLETT (RDCD)'s NPI?
Yes. ODESSA M GALLETT (RDCD) is listed with NPI 1245241272 in the public NPI dataset.
Is ODESSA M GALLETT (RDCD) listed as active for patients and plans?
The listing shows ODESSA M GALLETT (RDCD) as active in the NPI system.
What healthcare role does ODESSA M GALLETT (RDCD) hold?
Scheduling teams often label ODESSA M GALLETT (RDCD) under Registered Dietitian. Clinical services aligned with this taxonomy classification.
What address line appears for ODESSA M GALLETT (RDCD)?
ODESSA M GALLETT (RDCD)'s geographic hint is Medford, Wisconsin in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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