Jacklyn Gannon
NPI 1841078359ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Stony Brook, NY
Nurse Practitioner, Psych/Mental Health with Psychiatric Nurse Practitioner PC, practicing in Stony Brook, New York. Part D covered 1,148 prescriptions written in 2024, 89% of them generic. Alkermes, Inc. was the largest of 2 companies reporting payments in 2025, $42.05 in all, mostly food and beverage.
Overview
| NPI | 1841078359 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 18, 2023 |
| Last updated in NPPES | Oct 10, 2023 |
| Certified by provider | Oct 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 405347 | NY |
| Registered Nurse, Emergency | 163WE0003X | 745153 | 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 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 - Nurse Practitioner (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,148 · 1,916 30-day fills |
|---|---|
| Patients | 130 |
| Total drug cost | $365,495 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Psychiatric Nurse Practitioner PCNew York, NY · 48 clinicians
Industry payments (Open Payments)
- 2025$42.05 · 2 payments from 2 companies
- 2024$617.44 · 28 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alkermes, Inc. | $26.48 | 1 |
| Supernus Pharmaceuticals, Inc. | $15.57 | 1 |
What the 2025 payments were for
- Food and Beverage$42.05 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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