Jennifer Nicole Gannon, PA-C - Medicare Physician Assistant in Sartell, MN

Jennifer Nicole Gannon, PA-C is a medicare enrolled "Physician Assistant" in Sartell, Minnesota. She went to University Of North Dakota School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Nystrom And Associates Ltd, University Of Minnesota Physicians and her current practice location is 101 Dehler Dr, Sartell, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 845-2157.

Jennifer Nicole Gannon is licensed to practice in Minnesota (license number 11639) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447308770.

Contact Information

Jennifer Nicole Gannon, PA-C
101 Dehler Dr,
Sartell, MN 56377-4407
(320) 845-2157
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Nicole Gannon
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location101 Dehler Dr, Sartell, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Nicole Gannon attended and graduated from University Of North Dakota School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1447308770
  • Provider Enumeration Date: 01/05/2007
  • Last Update Date: 09/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123246634
  • Enrollment ID: I20140825002746

Medical Identifiers

Medical identifiers for Jennifer Nicole Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447308770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 11639 (Minnesota)Primary
2255A2300XSpecialist/technologist - Athletic Trainer 1881 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Cloud HospitalSaint cloud, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nystrom And Associates Ltd6406752492309
University Of Minnesota Physicians9830001189127

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Nicole Gannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Nicole Gannon, PA-C
101 Dehler Dr,
Sartell, MN 56377-4407

Ph: () -
Jennifer Nicole Gannon, PA-C
101 Dehler Dr,
Sartell, MN 56377-4407

Ph: (320) 845-2157

Reviews and Comments


Physician Assistant Nurses in Sartell, MN

Emil Trutwin,
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Phone: 320-259-4100    Fax: 320-259-8044
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Phone: 320-259-4100    Fax: 320-257-5523
Mr. David Patrick Buhl, PA-C
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Miss Megan Ann Rose, PA-C
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Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377
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Phone: 320-259-4100    Fax: 320-257-5523
Laura Johnson, PA
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Medicare: Medicare Enrolled
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Phone: 320-259-4100    Fax: 320-257-5523
Kristin K Mellgren, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 161 19th St S Ste 106, Sartell, MN 56377
Phone: 320-252-3376    Fax: 218-898-7597

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.