Nicole R. Gannon, ANP
NPI 1689947426ActiveIndividual· Nurse Practitioner, Adult Health· Orchard Park, NY
Nurse Practitioner, Adult Health (ANP) in Orchard Park, New York, licensed in NY, with an NPI issued in February 2012. Part D covered 126 prescriptions written in 2024, 60% of them generic.
Overview
| NPI | 1689947426 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ANP |
| Sole proprietor | Yes |
| NPI issued | Feb 9, 2012 |
| Last updated in NPPES | Oct 10, 2024 |
| Certified by provider | Oct 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | F305960 | NY |
| Nurse Practitioner | 363L00000X | 305960 | NY |
| Nurse Practitioner, Adult Health | 363LA2200X | 305960 | NY |
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 - Nurse Practitioner (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 126 · 139 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $9,092 |
| Generic share | 60% of claims |
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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