NICOLE R GANNON ANP
NPI 1689947426
Nurse Practitioner - Adult Health in Orchard Park, NY
About Nicole R Gannon Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE R GANNON ANP (NPI 1689947426) is an individual adult health provider in Orchard Park, New York, licensed in New York (F305960) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole R Gannon Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORCHARD PARK, NY 14127
ORCHARD PARK, NY 14127
ORCHARD PARK, NY 14127
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 Nicole Gannon's NPI number?
The NPI number for Nicole Gannon is 1689947426. It was assigned to this individual provider in the NPPES registry on February 9, 2012.
Where is Nicole Gannon located?
Nicole Gannon practices at 3685 Southwestern Blvd, Orchard Park, NY 14127. The listed phone number is (716) 712-7555.
What is Nicole Gannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Nicole Gannon enrolled in Medicare?
Yes. Nicole Gannon is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicole Gannon was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Nicole R Gannon, ANP · NPI 1689947426
Adult Health physician in Orchard Park, New York. Individual provider, active in the CMS NPPES registry since February 9, 2012.
## Identity
- **NPI:** 1689947426 (Entity type: Individual)
- **Enumerated:** February 9, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F305960 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3685 SOUTHWESTERN BLVD, Orchard Park, NY 14127-1732
- **Phone:** (716) 712-7555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689947426) · Data from the CMS NPPES public registry.