KRISTI GANNON
NPI 1952867111
Social Worker - Clinical in Fort Lauderdale, FL

Active since February 13, 2019PECOS EnrolledAccepts Medicare Assignment
2425 E COMMERCIAL BLVD STE 405, FORT LAUDERDALE, FL 33308(855) 284-7483 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2021, Feb 13, 2019 (2 updates tracked since 2019).

About Kristi Gannon NPPES

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

KRISTI GANNON (NPI 1952867111) is an individual clinical provider in Fort Lauderdale, Florida, licensed in Virginia (0904010874) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952867111
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTI GANNON
Location Address2425 E COMMERCIAL BLVD STE 405Fort Lauderdale, FL 33308-4029
Mailing Address1000 Jefferson St Ste 2cLynchburg, VA 24504-1724 · (703) 828-9054 · Fax (617) 807-0958
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 13, 2019
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
NPI 1952867111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904010874
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2425 E COMMERCIAL BLVD STE 405, Fort Lauderdale, FL 33308

Secondary Practice Locations 2

Location 16076 Franconia Rd Ste DAlexandria, VA 22310-1768 · Phone (703) 828-9054 · Fax (617) 807-0958
Location 215784 NW 12th CtPembroke Pines, FL 33028-1614 · Phone (855) 284-7483

Accepted 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

Kristi Gannon 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 ID7214277961
PECOS Enrollment IDI20190318000331
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 33308 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
$0.00 typical visit price
range $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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 4

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

Psychologist (Clinical)
2425 E COMMERCIAL BLVD STE 405
FORT LAUDERDALE, FL 33308
Psychologist
2425 E COMMERCIAL BLVD STE 405
FORT LAUDERDALE, FL 33308
Counselor (Mental Health)
2425 E COMMERCIAL BLVD STE 405
FORT LAUDERDALE, FL 33308
Clinical Nurse Specialist (Psychiatric/Mental Health)
2425 E COMMERCIAL BLVD STE 405
FORT LAUDERDALE, FL 33308

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 Kristi Gannon's NPI number?

The NPI number for Kristi Gannon is 1952867111. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Kristi Gannon located?

Kristi Gannon practices at 2425 E Commercial Blvd Ste 405, Fort Lauderdale, FL 33308. The listed phone number is (855) 284-7483.

What is Kristi Gannon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristi Gannon enrolled in Medicare?

Yes. Kristi 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 Kristi Gannon accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kristi 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.

When was this NPI record last updated?

The NPPES record for Kristi Gannon was last updated on November 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.