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KATHLEEN A GANNON APRN
NPI 1952818809
Nurse Practitioner in Jacksonville Beach, FL

Active since January 01, 2018PECOS EnrolledAccepts Medicare Assignment
54.97/100
CMS Quality Rating
3563 PHILIPS HWY, BLDG. B SUITE 201A, JACKSONVILLE BEACH, FL 32207(904) 202-2557(904) 393-2958 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Jun 3, 2025, Apr 1, 2024 and 2 more (5 updates tracked since 2018).

About Kathleen A Gannon Aprn NPPES

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

KATHLEEN A GANNON APRN (NPI 1952818809) is an individual nurse practitioner in Jacksonville Beach, Florida, licensed in Florida (APRN11035733) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1952818809
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN A GANNONCredential: APRN
Location Address3563 PHILIPS HWY, BLDG. B SUITE 201AJacksonville Beach, FL 32207
Mailing AddressPo Box 746636Atlanta, GA 30374-6636 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 202-2557
Fax(904) 393-2958
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 1, 2018
Last NPPES UpdateSeptember 2, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1952818809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in FL · APRN11035733✔ Licensed in IN · 71007340A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11035733 (FL)
3563 PHILIPS HWY, Jacksonville Beach, FL 32207
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Other Identifiers 1

Medicaid300009799IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Kathleen A Gannon Aprn 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 ID9234499930
PECOS Enrollment IDI20250116003833
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
125 services94 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
31 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

54.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality36.71
Promoting Interoperability78
Improvement Activities40
Cost31.53

Other Providers at the Same Location NPPES 8

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

BAYBAP, LLC.
Home Health
3563 PHILIPS HWY, BUILDING B, SUITE 202-B
JACKSONVILLE, FL 32207
Duval County (904) 202-4300
ANNA PAOLA GUTIERREZ FNP
Nurse Practitioner
3563 PHILIPS HWY, BLDG. B SUITE 201A
JACKSONVILLE BEACH, FL 32207
Duval County (904) 202-2557
CAITLIN ELIZABETH AUDET APRN
Nurse Practitioner
3563 PHILIPS HWY, BLDG. B SUITE 201A
JACKSONVILLE BEACH, FL 32207
Duval County (904) 202-2557
KRISTIN LEE GONZALEZ DNP
Nurse Practitioner (Family)
3563 PHILIPS HWY, BLDG. B SUITE 201A
JACKSONVILLE BEACH, FL 32207
Duval County (904) 202-2557
VICTORIA J STRONGOSKY LCSW
Social Worker (Clinical)
3563 PHILIPS HWY, BLDG. B SUITE 201A
JACKSONVILLE BEACH, FL 32207
Duval County (904) 202-2557
BAPTIST HOME CARE
Home Health
3563 PHILIPS HWY, BLD 202, SUITE 202
JACKSONVILLE, FL 32207
Duval County (904) 202-4341
LISA KIDD NP
Nurse Practitioner (Family)
3563 PHILIPS HWY, BLDG. B SUITE 201A
JACKSONVILLE BEACH, FL 32207
Duval County (904) 202-2557
PAVILION INFUSION THERAPY INC
Pharmacy (Home Infusion Therapy Pharmacy)
3563 PHILIPS HWY, STE 202
JACKSONVILLE, FL 32207
Duval County (904) 202-5730

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 Kathleen Gannon's NPI number?

The NPI number for Kathleen Gannon is 1952818809. It was assigned to this individual provider in the NPPES registry on January 1, 2018.

Where is Kathleen Gannon located?

Kathleen Gannon practices at 3563 Philips Hwy Bldg. B Suite 201A, Jacksonville Beach, FL 32207. The listed phone number is (904) 202-2557.

What is Kathleen Gannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kathleen Gannon enrolled in Medicare?

Yes. Kathleen 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 Kathleen Gannon accept?

Health plans from CareSource list Kathleen 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 Kathleen Gannon affiliated with any hospitals?

According to CMS data, Kathleen Gannon is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Kathleen Gannon was last updated on September 2, 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.