TERESA A GANNON NURSE PRACTITIONER
NPI 1821392424
Nurse Practitioner - Family in Cave Creek, AZ

Q: 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.

Q: What is Teresa Gannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Gannon was last updated on December 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 23, 2010PECOS EnrolledAccepts Medicare Assignment

28138 N TATUM BLVD, CAVE CREEK, AZ 85331(866) 389-2727 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2025, Feb 23, 2023, Jan 30, 2023 (3 updates tracked since 2023).

On this page

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

NPI1821392424

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTERESA A GANNONCredential: NURSE PRACTITIONER

Location Address28138 N TATUM BLVDCave Creek, AZ 85331-6303

Mailing Address28138 N Tatum Blvd, Cave Creek, Az 85331Cave Creek, AZ 85331 · (518) 878-7491

Phone(866) 389-2727

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 23, 2010

Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1821392424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 285061

28138 N TATUM BLVD, Cave Creek, AZ 85331

Open in Google Maps ↗

Secondary Practice Location 1

Location 13210 E Union Hills DrPhoenix, AZ 85050-3223 · Phone (866) 389-2727

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

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.

PECOS PAC ID6002289238

PECOS Enrollment IDI20230308002019

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.

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.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 15

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

GERMAN DOBSON CVS, L.L.C

Pharmacy