MS. SUZANNE MARIE GALLETLY (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1184087652
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. SUZANNE MARIE GALLETLY (NP)
210, Orange Grove Boulevard, Pasadena, Los Angeles County, California, 91105, United States
PASADENA, CA 911051705
Phone: (626) 252-5723
Type: Mailing
572 E Green St Ste 206
Pasadena, CA 911012075
Phone: (626) 790-2926
Type: Location
232 E Gish Rd
San Jose, CA 951124706
Phone: (626) 790-2926
Type: Location
572 E GREEN ST STE 206
PASADENA, CA 911012075
Phone: (626) 790-2926
Type: Mailing
Ramona Boulevard, Irwindale, Los Angeles County, California, 91706, United States
IRWINDALE, CA 917063752
Phone: (626) 337-3828
Type: Location
11731 TELEGRAPH RD
SANTA FE SPRINGS, CA 906703675
Phone: (562) 942-8256
Type: Location
200 E DEL MAR BLVD STE 200
PASADENA, CA 911052552
Phone: (626) 723-3099
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $504.
Total Amount is formed as General ($504) + Research ($0) + Ownership ($0) = $504.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($253).
Total Amount
$504
General + Research + Ownership
Payments
6
Total payment records
General Amount
$504
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-11-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161110000976 | I | Nurse Practitioner | CA | TBD |
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.
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 91105)
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