Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stephanie Lane Gallegos, PA-C

Individual provider Medical Physician Assistant · NPI 1104051960

MS. Stephanie Lane Gallegos, PA-C is a Physician Assistant in Richmond, Virginia. Qualified in 2009, 17 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group and accepts Medicare assignment. Licensed in New Mexico and Virginia.

Years since qualifying
17
Licensed in
NM, VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1501 Maple Ave Ste 200 NW Mob
Richmond, VA 23226-2553
Phone: (804) 285-2300
Fax: (804) 285-8420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110004398 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-082 (NM)

Record details

NPI number1104051960
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 22, 2009
Last updated in NPPESApril 19, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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