DR. JENNIFER L GANNON (M.D.) – Pediatrics Physician, NPI 1740218270
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
171 PEDIATRIC MEDICINE in KS
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Provider Addresses for DR. JENNIFER L GANNON (M.D.)
Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States
ATTN PROVIDER ENROLLMENT DEPT
KANSAS CITY, MO 641084619
Phone: (816) 701-5200
Type: Mailing
Children's Mercy Hospital Kansas, 5808, West 110th Street, Overland Park, Johnson County, Kansas, 66211, United States
OVERLAND PARK, KS 662112504
Phone: (913) 696-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-01-22
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20150122000504 | I | Pediatric Medicine | MO | TBD |
| I20150122001345 | I | Pediatric Medicine | KS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Hematology/Oncology | MO | |
| Anesthesiology, Cardiovascular Disease (Cardiology) | KS | |
| - | MO | |
| Diagnostic Radiology | MO | |
| Urology, Pediatric Medicine | MO | |
| Diagnostic Radiology | MO | |
| Pediatric Medicine, Emergency Medicine | MO | |
| - | MO | |
| - | IA | |
| Certified Registered Nurse Anesthetist (Crna) | MO |
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