JENNEY JENEAN GANNON BSN,RN,INTERN
NPI 1710759550
Nurse Practitioner - Psychiatric/Mental Health in Everett, WA

Q: What is Jenney Gannon's NPI number?

The NPI number for Jenney Gannon is 1710759550. It was assigned to this individual provider in the NPPES registry on October 25, 2023. The provider is also known as Jenney Jenean Fry.

Q: What is Jenney Gannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jenney Gannon was last updated on February 12, 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 October 25, 2023PECOS EnrolledAccepts Medicare Assignment

1321 COLBY AVE, EVERETT, WA 98201(425) 258-7390 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 12, 2025, Apr 25, 2024, Oct 25, 2023 (3 updates tracked since 2023).

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About Jenney Jenean Gannon Bsn,rn,intern NPPES

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

JENNEY JENEAN GANNON BSN,RN,INTERN (NPI 1710759550) is an individual psychiatric/mental health provider in Everett, Washington, licensed in Washington (AP61528738) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1710759550

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNEY JENEAN GANNONCredential: BSN,RN,INTERN

Location Address1321 COLBY AVEEverett, WA 98201-1665

Mailing AddressPo Box 3360Portland, OR 97208-3360 · (425) 525-3316

Phone(425) 258-7390

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 25, 2023

Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2025

✔ NPI 1710759550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP61528738

1321 COLBY AVE, Everett, WA 98201

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Other Names 1

Former Name (1)Jenney Jenean Fry

Secondary Practice Location 1

Location 14526 Federal AveEverett, WA 98203-2132 · Phone (425) 349-6200 · Fax (425) 349-6855

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

Jenney Jenean Gannon Bsn,rn,intern 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 ID5193164861

PECOS Enrollment IDI20240415000245

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.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

16 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500014

Location1321 Colby AvenueEverett, WA 98201 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

SAMUEL ROB GUYER MD

Surgery (Trauma Surgery)