Provider Profile

Carl Gannon, PA

Unclaimed Profile

About Carl Gannon

Carl Gannon, PA is a nurse practitioner — family based in Everett, WA. Carl is also listed as specializing in physician assistant — medical. Medicare claims data shows Carl provided 277 services to 210 patients. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, and administration of influenza virus vaccine.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 2004

Specialty

Nurse Practitioner — Family (Primary)
Nurse Practitioner — Family (Additional)
Nurse Practitioner — Family (Additional)

Credentials & Licensing

WA licenseAP60628896
CA license22398
CA license22998
NPI1053668335
NPI issued08/06/2012

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Carl Gannon specialize in?

Carl Gannon is a nurse practitioner in Everett, WA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where is Carl Gannon located?

Carl Gannon is listed at 12800 Bothell Everett Hwy, Everett, WA 98208. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Carl Gannon's phone number?

The number on file is (425) 316-5180. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Carl Gannon?

Carl Gannon's National Provider Identifier is 1053668335. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Carl Gannon train?

Carl Gannon attended Other, graduating in 2004. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Carl Gannon have?

Carl Gannon has 22 years experience. Calculated from a graduation year of 2004, reported in the CMS National Downloadable File.

CMS public data

What does Carl Gannon do most often?

According to Medicare billing data, Carl Gannon provides treatments such as influenza vaccine, inactivated and sarscv2 vac 30mcg trs-suc im, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Carl Gannon's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Carl Gannon. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.