KATHLEEN A GANNON (APRN) – Nurse Practitioner, NPI 1952818809
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
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Provider Addresses for KATHLEEN A GANNON (APRN)
8501, Harcourt Road, Indianapolis, Indiana, 46260, United States
INDIANAPOLIS, IN 462602046
Phone: (317) 875-9105
Type: Mailing
PO BOX 746636
ATLANTA, GA 303746636
Phone: (904) 202-2092
Fax: (904) 376-4075
Type: Mailing
3563 PHILIPS HWY
BLDG. B SUITE 201A
JACKSONVILLE BEACH, FL 32207
Phone: (904) 202-2557
Fax: (904) 393-2958
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Access Pro Medical, LLC ($57).
Total Amount
$141
General + Research + Ownership
Payments
4
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Access Pro Medical, LLC | $57 |
| Smith+Nephew, Inc. | $44 |
| Orthofix Medical, Inc. | $24 |
| Hologic Sales and Service, LLC | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180126001810 | I | Nurse Practitioner | IN | TBD |
| I20250116003833 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 133 | 101 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 32 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 26 | $0 |
Insurance plans in this area (ZIP 46260)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Orthopedic Surgery | NY | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| Hand Surgery | IN | |
| - | IN | |
| - | IN | |
| - | IN |
Reviews
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