Kathleen A Gannon, APRN in Jacksonville Beach, FL

Kathleen A Gannon, APRN is a medicare enrolled "Nurse Practitioner" in Jacksonville Beach, Florida. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baptist Agewell Physicians Inc and her current practice location is 3563 Philips Hwy, Bldg. B Suite 201a, Jacksonville Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 202-2557.

Kathleen A Gannon is licensed to practice in Florida (license number APRN11035733) 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 1952818809.

Contact Information

	Kathleen A Gannon, APRN
	3563 Philips Hwy, Bldg. B Suite 201a, Jacksonville Beach, FL 32207
	(904) 202-2557
	(904) 393-2958

Map and Direction

Provider's Profile

Full Name	Kathleen A Gannon
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	3563 Philips Hwy, Jacksonville Beach, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen A Gannon graduated from nursing school in 2008

NPI Data:

NPI Number: 1952818809
Provider Enumeration Date: 01/01/2018
Last Update Date: 09/02/2025

Medicare PECOS Information:

PECOS PAC ID: 9234499930
Enrollment ID: I20250116003833

Medical Identifiers

Medical identifiers for Kathleen A Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952818809	NPI	-	NPPES
300009799	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71007340A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11035733 (Florida)	Secondary
363L00000X	Nurse Practitioner	APRN11035733 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Home Health Care	Jacksonville, FL	Home health agency
Baptist Health Medical Center - Jacksonville	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baptist Agewell Physicians Inc	0244480531	19

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen A Gannon allows following entities to bill medicare on her behalf.

Entity Name	Baptist Agewell Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306107099 PECOS PAC ID: 0244480531 Enrollment ID: O20121023000126

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. Kathleen A 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 Address	Practice Location Address
Kathleen A Gannon, APRN Po Box 746636, Atlanta, GA 30374-6636 Ph: (904) 202-2092	Kathleen A Gannon, APRN 3563 Philips Hwy, Bldg. B Suite 201a, Jacksonville Beach, FL 32207 Ph: (904) 202-2557

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville Beach, FL

Nicole Thomas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1891 Beach Blvd, Suite 200, Jacksonville Beach, FL 32250 Phone: 904-249-3743 Fax: 904-249-2047
Glynnis Marie Winfree, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1351 13th Ave S Ste 120, Jacksonville Beach, FL 32250 Phone: 904-223-3321 Fax: 904-223-2169
Kenneth C Ryan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250 Phone: 904-249-1041 Fax: 904-249-9764
Mrs. Erica Francisca Andrade, APRN FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1350 13th Ave S, Jacksonville Beach, FL 32250 Phone: 904-982-0885
Ms. Michelle M Krawczyk, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250 Phone: 904-997-3800 Fax: 904-997-9899
Lindsay Vines, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1361 13th Ave S Ste 180, Jacksonville Beach, FL 32250 Phone: 850-247-4300
Ms. Shirley Lynn Fabrizio, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250 Phone: 904-997-3800 Fax: 904-997-3899

Kathleen A Gannon, APRN - Medicare Nurse Practitioner in Jacksonville Beach, FL