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MRS. KERRI ANN GANNON NPC
NPI 1245649870
Nurse Practitioner - Adult Health in Boston, MA

Active since August 07, 2014PECOS Enrolled

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kerri Ann Gannon Npc NPPES

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

MRS. KERRI ANN GANNON NPC (NPI 1245649870) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (RN234873) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1245649870
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KERRI ANN GANNONCredential: NPC
Location Address55 FRUIT STBoston, MA 02114-2696
Mailing Address41 Mall RdBurlington, MA 01805-2696 · (781) 744-8000
Phone(617) 726-2000
Sole ProprietorNo
Enumeration DateAugust 7, 2014
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1245649870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · RN234873
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN234873 (MA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN234873 (MA)
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Other Names 1

Former Name (1)Kerri Ann Foxon

Secondary Practice Location 1

Location 141 Mall Rd, Lahey Hospital and Medical CenterBurlington, MA 01805-0001 · Phone (781) 744-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kerri Ann Gannon Npc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Kerri Gannon's NPI number?

The NPI number for Kerri Gannon is 1245649870. It was assigned to this individual provider in the NPPES registry on August 7, 2014. The provider is also known as Kerri Ann Foxon.

Where is Kerri Gannon located?

Kerri Gannon practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Kerri Gannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kerri Gannon enrolled in Medicare?

Yes. Kerri Gannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerri Gannon was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.