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DR. KRISTIN LEIGH GANNOE MD
NPI 1811904915
Psychiatry & Neurology - Child & Adolescent Psychiatry in Little Rock, AR

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
28 RAHLING CIR, LITTLE ROCK, AR 72223(501) 448-0060(501) 448-0066 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kristin Leigh Gannoe Md NPPES

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

DR. KRISTIN LEIGH GANNOE MD (NPI 1811904915) is an individual child & adolescent psychiatry provider in Little Rock, Arkansas, licensed in Arkansas (E3694) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1811904915
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KRISTIN LEIGH GANNOECredential: MD
Location Address28 RAHLING CIRLittle Rock, AR 72223-9187
Mailing Address28 Rahling CirLittle Rock, AR 72223-9187 · (501) 448-0060 · Fax (501) 448-0066
Phone(501) 448-0060
Fax(501) 448-0066
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 2, 2006
Last NPPES UpdateMay 21, 2008
✔ NPI 1811904915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in AR · E3694
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
28 RAHLING CIR, Little Rock, AR 72223
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Other Identifiers 3

Medicare PIN5M7066738AR
Medicaid150663001AR
Medicare ID-Type Unspecified5M706AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kristin Leigh Gannoe Md 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 ID7911899042
PECOS Enrollment IDI20040325000668
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.

Medicare Billing Reassignment

Medicare enrollment records show Kristin Gannoe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of Arkansas
7.5 mi
Psychiatric Hospital
305 S PALM ST
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 37 clinicians in this Medicare group
NPI 1891808630 (501) 686-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN H REASONER LCSW
Social Worker (Clinical)
28 RAHLING CIR
LITTLE ROCK, AR 72223
Pulaski County (501) 448-0060

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 Kristin Gannoe's NPI number?

The NPI number for Kristin Gannoe is 1811904915. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Kristin Gannoe located?

Kristin Gannoe practices at 28 Rahling Cir, Little Rock, AR 72223. The listed phone number is (501) 448-0060.

What is Kristin Gannoe's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kristin Gannoe enrolled in Medicare?

Yes. Kristin Gannoe 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.

Which organization bills Medicare for Kristin Gannoe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Gannoe reassigns Medicare benefits to State Of Arkansas (Little Rock, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Gannoe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Gannoe accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kristin Gannoe 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.

When was this NPI record last updated?

The NPPES record for Kristin Gannoe was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.