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BRIANNA C GAMMON
NPI 1336843085
Nurse Practitioner - Pediatrics, Critical Care in Little Rock, AR

Active since March 28, 2023PECOS Enrolled
1 CHILDRENS WAY # 707, LITTLE ROCK, AR 72202(501) 263-2644(501) 364-6889 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brianna C Gammon NPPES

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

BRIANNA C GAMMON (NPI 1336843085) is an individual pediatrics, critical care provider in Little Rock, Arkansas, licensed in Arkansas (223760) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336843085
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameBRIANNA C GAMMON
Location Address1 CHILDRENS WAY # 707Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(501) 263-2644
Fax(501) 364-6889
Sole ProprietorNo
Enumeration DateMarch 28, 2023
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1336843085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in AR · 223760
1 CHILDRENS WAY # 707, Little Rock, AR 72202
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Other Names 1

Former Name (1)Brianna Polach

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianna C Gammon 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 72202 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 4

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

MICHAELA CHRISTINA KOLLISCH-SINGULE M.D.
Surgery (Pediatric Surgery)
1 CHILDRENS WAY # 707
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MARY E SELANDERS
Physician Assistant
1 CHILDRENS WAY # 707
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DENICE MARIE BOZEMAN APN
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 707
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3798
SAMANTHA G SANTIAGO PA
Physician Assistant
1 CHILDRENS WAY # 707
LITTLE ROCK, AR 72202
Pulaski County (501) 364-2914

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 Brianna Gammon's NPI number?

The NPI number for Brianna Gammon is 1336843085. It was assigned to this individual provider in the NPPES registry on March 28, 2023. The provider is also known as Brianna Polach.

Where is Brianna Gammon located?

Brianna Gammon practices at 1 Childrens Way # 707, Little Rock, AR 72202. The listed phone number is (501) 263-2644.

What is Brianna Gammon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Brianna Gammon enrolled in Medicare?

Yes. Brianna Gammon is registered in the Medicare PECOS enrollment system.

What insurance does Brianna Gammon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Brianna Gammon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brianna Gammon was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.