Gabrielle Gannon, PA-C
NPI 1669169835ActiveIndividual· Physician Assistant· St Augustine, FL
Physician Assistant (PA-C) with Excel Urgent Care of Wantagh PLLC, practicing in St Augustine, Florida. 223 Medicare patients in 2024, $21,547 paid; nearly all of their 357 Part D prescriptions were generic (99%).
Overview
| NPI | 1669169835 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 19, 2023 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Oct 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00826400 | NJ |
| Physician Assistant | 363A00000X | 031131 | NY |
| Physician Assistant | 363A00000X | PA9121113 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 223 |
|---|---|
| Services billed | 392 across 27 procedure codes |
| Paid by Medicare | $21,547 |
Part D prescriptions in 2024
| Prescriptions (claims) | 357 · 360 30-day fills |
|---|---|
| Patients | 242 |
| Total drug cost | $4,084 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Excel Urgent Care of Wantagh PLLCWantagh, NY · 40 clinicians
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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