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JACKSON D GANNON PA-C
NPI 1790357358
Physician Assistant - Surgical in Omaha, NE

Active since July 13, 2021PECOS EnrolledAccepts Medicare Assignment
8200 DODGE ST, OMAHA, NE 68114(402) 955-8600(402) 955-5905 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson D Gannon Pa-c NPPES

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

JACKSON D GANNON PA-C (NPI 1790357358) is an individual surgical provider in Omaha, Nebraska, licensed in Nebraska (2632) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790357358
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJACKSON D GANNONCredential: PA-C
Location Address8200 DODGE STOmaha, NE 68114-4113
Mailing AddressPo Box 24607Omaha, NE 68124-0607 · (402) 955-5400 · Fax (402) 955-3674
Phone(402) 955-8600
Fax(402) 955-5905
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 13, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1790357358 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 NE · 2632
8200 DODGE ST, Omaha, NE 68114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Jackson D 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 ID8123513074
PECOS Enrollment IDI20251218002488
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.

Hospital Affiliations CMS Care Compare

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

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.

CHILDRENS HOSPITAL & MEDICAL CENTER
Dietitian, Registered (Nutrition, Pediatric)
8200 DODGE ST
OMAHA, NE 68114
Douglas County (402) 955-5400
DR. AMANDA MARSHALL
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Douglas County (402) 955-2292
CLAYTON MOWRER D.O.
Internal Medicine
8200 DODGE ST
OMAHA, NE 68114
Douglas County (402) 955-4060
DR. QAIS ALLOAH MD
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Douglas County (402) 955-4350
CHILDREN'S SPECIALTY PHYSICIAN BILLING
Nurse Practitioner (Pediatrics)
8200 DODGE ST, CHILDREN'S HOSPITAL
OMAHA, NE 68114
Douglas County (402) 955-6928
MRS. SARAH ASHLEY CLEAVER APRN
Nurse Practitioner (Pediatrics)
8200 DODGE ST, CHILDREN'S HOSPITAL & MEDICAL CENTER - ED
OMAHA, NE 68114
Douglas County (402) 955-5150
JOHN D KUGLER M.D.
Pediatrics (Pediatric Cardiology)
8200 DODGE ST
OMAHA, NE 68114
Douglas County (402) 955-4350
MR. SCOTT S JAMES MD
Pediatrics (Pediatric Emergency Medicine)
8200 DODGE ST, CHILDREN'S HOSPITAL - EMERGENCY DEPARTMENT
OMAHA, NE 68114
Douglas County (402) 955-5150

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 Jackson Gannon's NPI number?

The NPI number for Jackson Gannon is 1790357358. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Jackson Gannon located?

Jackson Gannon practices at 8200 Dodge St, Omaha, NE 68114. The listed phone number is (402) 955-8600.

What is Jackson Gannon's specialty?

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

Is Jackson Gannon enrolled in Medicare?

Yes. Jackson Gannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jackson Gannon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Jackson Gannon 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.

Is Jackson Gannon affiliated with any hospitals?

According to CMS data, Jackson Gannon is affiliated with The Nebraska Medical Center.

When was this NPI record last updated?

The NPPES record for Jackson Gannon was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.