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Active NPI 1750124111 Individual Practitioner Male Practitioner

Ryan T Gallagher , APN-CNP

Nurse Practitioner • Addison, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Ryan Gallagher, APN-CNP is a certified Nurse Practitioner practicing in Addison, IL. With approximately 3 years of clinical experience since completing medical education in 2023, Ryan Gallagher delivers high-quality medical care to the local community at 303 W LAKE ST STE 301.

Ryan Gallagher is affiliated with Endeavor Health Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation with medical services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

303 W Lake St Ste 301

Addison, IL 601012565

Telephone 3312211650
Fax 3312212710

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Addison, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -5.0 yrs vs City Avg
City Avg: 8.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
15 Specialists

Practicing in Addison, IL (4929 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gallagher (3 Years) 3 Yrs
Addison Specialty Average (8.0 Years) 8.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90792 Psychiatric diagnostic evaluation with medical services
12 12 $450.00 $167.48

Medical Specialties & State Licenses

CMS Verified: 2024-06-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209029542

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License IL 209.029542

Definition to come...

Hospital & Practice Group Affiliations

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Byeol Shim

Counselor - Professional

NPI 1003503699
Dr. Tiffany Potts-Daniel , PhD

Psychologist - Clinical

NPI 1013639392

Doctor of Philosophy (Ph.D.)

Pagel Palmer Jr. , LMFT

Marriage & Family Therapist

NPI 1043931231

Licensed Marriage and Family Therapist

Lorie Enlow , LMFT

Marriage & Family Therapist

NPI 1205077831

Licensed Marriage and Family Therapist

Nicole Palmer , LCSW

Social Worker - Clinical

NPI 1699650309

Licensed Clinical Social Worker

Laura Millard , LCSW-C

Social Worker - Clinical

NPI 1861619140

Licensed Clinical Social Worker - Certified

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 26, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2024

Registered at 303 W LAKE ST STE 301, ADDISON, IL 601012565 (Tel: 3312211650)

📍
Updated Business Mailing Address June 26, 2024

Registered at 303 W LAKE ST STE 301, ADDISON, IL 601012565 (Tel: 3312211650)

👤
Provider Name / Credentials Updated June 26, 2024

Recorded as RYAN GALLAGHER, APN-CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2024

Nurse Practitioner (License #209.029542 in IL)

🟢
Initial NPI Registration & Enumeration June 14, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750124111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2024
Last Update: June 26, 2024
Sole Proprietor: No

Mailing Address

303 W Lake St Ste 301

Addison, IL 601012565

Phone: 3312211650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.