TERESA A GANNON NURSE PRACTITIONER
NPI 1821392424
Nurse Practitioner - Family in Cave Creek, AZ
About Teresa A Gannon Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERESA A GANNON NURSE PRACTITIONER (NPI 1821392424) is an individual family provider in Cave Creek, Arizona, licensed in Arizona (285061) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Teresa A Gannon Nurse Practitioner 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.
Medicare Billing Reassignments
2Medicare enrollment records show Teresa Gannon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, AZ 85382
- Reassigned Medicare billing, Arizona enrollment
Rockville, MD 20854
- Reassigned Medicare billing, Arizona enrollment
- 163 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85331 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Teresa Gannon's NPI number?
The NPI number for Teresa Gannon is 1821392424. It was assigned to this individual provider in the NPPES registry on December 23, 2010.
Where is Teresa Gannon located?
Teresa Gannon practices at 28138 N Tatum Blvd, Cave Creek, AZ 85331. The listed phone number is (866) 389-2727.
What is Teresa Gannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Teresa Gannon enrolled in Medicare?
Yes. Teresa 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.
Which organizations bill Medicare for Teresa Gannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Gannon reassigns Medicare benefits to 2 organizations: Oasis House Call LLC (Peoria, AZ) and Minuteclinic LLC (Rockville, MD). Each 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 Teresa Gannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Teresa Gannon was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Teresa A Gannon, NURSE PRACTITIONER · NPI 1821392424
Family physician in Cave Creek, Arizona. Individual provider, active in the CMS NPPES registry since December 23, 2010.
## Identity
- **NPI:** 1821392424 (Entity type: Individual)
- **Enumerated:** December 23, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 285061 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 28138 N TATUM BLVD, Cave Creek, AZ 85331-6303
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Oasis House Call LLC (NPI 1730899584, Peoria, AZ); Minuteclinic LLC (NPI 1134191836, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821392424) · Data from the CMS NPPES public registry.