NICOLE R GANNON ANP
NPI 1689947426
Nurse Practitioner - Adult Health in Orchard Park, NY

Active since February 09, 2012PECOS Enrolled
3685 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127(716) 712-7555 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2024, May 25, 2022 (2 updates tracked since 2022).

  • Individual
  • Female
  • Nurse Practitioner
  • Adult Health
  • PECOS Enrolled

About NICOLE GANNON

This page provides the complete NPI Profile along with additional information for Nicole Gannon, a provider established in Orchard Park, New York with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1689947426 assigned on February 2012. The practitioner's primary taxonomy code is 363LA2200X with license number F305960 (NY). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1689947426 Verify this NPI
Provider Name
NICOLE R GANNON ANP
Gender
Female
Entity Type
Individual
Location Address
3685 SOUTHWESTERN BLVD ORCHARD PARK, NY 14127
Location Phone
(716) 712-7555
Mailing Address
3685 SOUTHWESTERN BLVD ORCHARD PARK, NY 14127
Mailing Phone
(716) 712-7555
Is Sole Proprietor?
Yes
Enumeration Date
02-09-2012
Last Update Date
10-10-2024
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A nurse practitioner (NP) like Nicole Gannon is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
F305960
License State
NY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

305960 (NY)
2363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

305960 (NY)

Medicare Participation & PECOS Enrollment Status

Nicole Gannon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Wheelchairs (DD000N)

    Standard wheelchair (HCPCS:K0001)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 14127 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.93
  • Minimum New Patient Price $54.87
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.08
  • Minimum Established Patient Price $17.54
  • Maximum Established Patient Price $136.14
  • Average Established Patient Copayment $24.27
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.03

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for NICOLE R GANNON ANP

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Chiropractor
3685 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Dietitian, Registered (Nutrition, Metabolic)
3685 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Chiropractor
3685 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Massage Therapist
3685 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Dietitian, Registered
3685 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Dietitian, Registered
3685 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Dietitian, Registered (Nutrition, Metabolic)
3685 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Dietitian, Registered
3685 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Massage Therapist
3685 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Massage Therapist
3685 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127
Social Worker (Clinical)
3685 SOUTHWESTERN BLVD
ORCHARD PARK, NY 14127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689947426, enumerated as an "individual" on February 09, 2012.

The provider is located at 3685 SOUTHWESTERN BLVD ORCHARD PARK, NY 14127 and the phone number is (716) 712-7555.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.