NANCY ELLEN GANNON PA-C
NPI 1689191934
Physician Assistant - Surgical in Dallas, TX

Q: What is Nancy Gannon's NPI number?

The NPI number for Nancy Gannon is 1689191934. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Q: What is Nancy Gannon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Gannon was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since August 28, 2017PECOS EnrolledAccepts Medicare Assignment

9301 N CENTRAL EXPY STE 500, DALLAS, TX 75231(214) 220-2468(214) 720-1982 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2020, Aug 28, 2017 (2 updates tracked since 2017).

On this page

About Nancy Ellen Gannon Pa-c NPPES

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

NANCY ELLEN GANNON PA-C (NPI 1689191934) is an individual surgical provider in Dallas, Texas, licensed in Texas (PA11401) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and maintains a secondary practice location in Frisco.

NPPES Registry Identity

NPI1689191934

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameNANCY ELLEN GANNONCredential: PA-C

Location Address9301 N CENTRAL EXPY STE 500Dallas, TX 75231-0805

Mailing Address9301 N Central Expy Ste 500Dallas, TX 75231-0805 · (214) 220-2468 · Fax (214) 720-1982

Phone(214) 220-2468

Fax(214) 720-1982

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 28, 2017

Last NPPES UpdateJanuary 20, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2025

✔ NPI 1689191934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TX · PA11401

9301 N CENTRAL EXPY STE 500, Dallas, TX 75231

Open in Google Maps ↗

Secondary Practice Location 1

Location 13800 Gaylord Pkwy Ste 710Frisco, TX 75034-9635 · Phone (214) 220-2468

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nancy Ellen Gannon Pa-c 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 ID446524730

PECOS Enrollment IDI20170926001422

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

17 services11 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450647

Location7777 Forest LaneDallas, TX 75230 · Dallas County

Emergency services Birthing friendly

North Central Surgical Center LLP

Acute Care Hospitals · Dallas, TX

OwnershipVoluntary non-profit - Other

CMS Certification Number670049

Location9301 North Central Expressway Suite 100Dallas, TX 75231 · Dallas County

Emergency services

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.

WAYNE Z BURKHEAD JR. M.D.

Orthopaedic Surgery