Jennifer Nicole Gannon, PA-C
NPI 1447308770ActiveIndividual· Physician Assistant· Sartell, MN
Physician Assistant (PA-C) in Sartell, Minnesota, trained at University of North Dakota School of Medicine (class of 2014). Their prescriptions cost Medicare Part D more than their services did: $138,969 for 968 claims, against $13,319 paid for services in 2024.
Overview
| NPI | 1447308770 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 5, 2007 |
| Last updated in NPPES | Apr 25, 2025 |
| Certified by provider | Apr 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 11639 | MN |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 1881 | MN |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 173 across 8 procedure codes |
| Paid by Medicare | $13,319 |
Part D prescriptions in 2024
| Prescriptions (claims) | 968 · 1,014 30-day fills |
|---|---|
| Patients | 53 |
| Total drug cost | $138,969 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Centracare ClinicSaint Cloud, MN · 791 clinicians
Hospital affiliation
- Centracare - St. Cloud HospitalSaint Cloud, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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