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LUANN ANNETTE GAMMON LICSW
NPI 1053630053
Social Worker - Clinical in Staples, MN

Active since May 31, 2010PECOS EnrolledAccepts Medicare Assignment
49725 COUNTY 83, STAPLES, MN 56479(218) 894-1515(218) 894-8767 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Luann Annette Gammon Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUANN ANNETTE GAMMON LICSW (NPI 1053630053) is an individual clinical provider in Staples, Minnesota, licensed in Minnesota (9493) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1053630053
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLUANN ANNETTE GAMMONCredential: LICSW
Location Address49725 COUNTY 83Staples, MN 56479-5280
Mailing Address49725 County 83Staples, MN 56479-5280 · (218) 894-1515
Phone(218) 894-1515
Fax(218) 894-8767
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMay 31, 2010
Last NPPES UpdateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1053630053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 9493
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
49725 COUNTY 83, Staples, MN 56479
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luann Annette Gammon Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517119324
PECOS Enrollment IDI20121130000139
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Luann Gammon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakewood Health System
Same address
Critical Access
49725 COUNTY 83
Staples, MN 56479
  • Reassigned Medicare billing, Minnesota enrollment
  • 136 clinicians in this Medicare group
NPI 1124019054 (218) 894-1515

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56479 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKEWOOD HEALTH SYSTEM
Durable Medical Equipment & Medical Supplies
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
KELLY VANVICKLE
Nurse Practitioner (Women's Health)
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
MARISSA ELIZABETH BAUMGARTNER PA-C
Physician Assistant
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
JORDAN ROBERT MOE M.D.
Family Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
KYLIE OLSON
Speech-Language Pathologist
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-8427
GERALD WAYNE HENRICKSON MD
Family Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
PAIGE MARIE CARLSON MD
Internal Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
CHELSEY LEE OLANDER CNP
Nurse Practitioner (Family)
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luann Gammon's NPI number?

The NPI number for Luann Gammon is 1053630053. It was assigned to this individual provider in the NPPES registry on May 31, 2010.

Where is Luann Gammon located?

Luann Gammon practices at 49725 County 83, Staples, MN 56479. The listed phone number is (218) 894-1515.

What is Luann Gammon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Luann Gammon enrolled in Medicare?

Yes. Luann Gammon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Luann Gammon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luann Gammon reassigns Medicare benefits to Lakewood Health System (Staples, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luann Gammon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Luann Gammon was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.