Jacklyn Gannon
Psychiatric/Mental Health Nurse Practitioner · Stony Brook, NY
Jacklyn Gannon is a psychiatric/mental health nurse practitioner with a practice address in Stony Brook, New York, and NPI 1841078359, issued on Sep 18, 2023. Check the license (New York 405347, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacklyn Gannon
- Primary taxonomy
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License numbers
- 405347 NY
745153 NY
Self-reported in NPPES; status is on the state search - Practice location
- 101 Nicolls RD, Stony Brook, NY 11794
- Phone
- (631) 638-1036
- Enumerated
- Sep 18, 2023
- Record last updated
- Oct 10, 2023
- Medicare enrollment
- Enrolled (PECOS I20250213000324); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychiatric/mental health nurse practitioner records → All 4,129 in New York → Look up another NPI →
Also registered at 101 Nicolls RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Arshia Aalami Harandi, MD, MSStudent in an Organized Health Care Education/Training Program1033810627
- Sadia Abbasi, MDInternal Medicine Physician1740442698
- Alan Abboud, MDStudent in an Organized Health Care Education/Training Program1891498531
- Verona AbdelmesehStudent in an Organized Health Care Education/Training Program1558926022
- Rula Abdulrahman, M.D.Nephrology Physician1790180776
- Dua AbedeenStudent in an Organized Health Care Education/Training Program1457153934
Verify Jacklyn Gannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 405347Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
27% more Medicare Part D claims than the average psychiatric/mental health nurse practitioner in 2024
1,148 Medicare Part D claims for 130 beneficiaries, against an average of 906 among the 30,717 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims.
Most prescribed
- Clonazepam61 claims
- Quetiapine Fumarate57 claims
- Alprazolam53 claims
- Bupropion Xl50 claims
- Sertraline Hcl47 claims
- Gabapentin41 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $617.44
28 payments; by number, the most common kind was food and beverage; the largest payer was Lundbeck LLC. The 23,362 providers of this specialty with any payment received $1,027.77 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Psychiatric Nurse Practitioner PCNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacklyn Gannon among 4,129 psychiatric/mental health nurse practitioner records in New York
Jacklyn Gannon is one of 4,129 psychiatric/mental health nurse practitioner records with a practice address in New York. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 76% of them.
- NPI issued2023 · 76% of these records are older, 17% newer
- In a Medicare fileYes · 68% of these records are
- In the CMS Doctors and Clinicians fileYes · 46% of these records are
- Graduated2023 · median 2021 among the 1,914 with a school on file
- Record last updated2023 · 34% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Psychiatric/Mental Health Nurse Practitioner providers in New York
There are 4,129 psychiatric/mental health nurse practitioner records in New York.
All 4,129 in New York → Every provider in Stony Brook → Psychiatric/Mental Health Nurse Practitioner nationwide →
The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes
- Marjory BeaubrunStony Brook, NY 117941083375125
- Christine BujacichStony Brook, NY 117941982387163
- Laura Chan, NP, LCSW-RStony Brook, NY 117941235288614
- Sandra Edwards, N.P.Stony Brook, NY 117941750542908
- Christopher GraffittiStony Brook, NY 117941366054645
- Thomas HicksStony Brook, NY 117941306684261
- Cheranne Morse, NPPStony Brook, NY 117941861625097
- Alexander Peguero-Medrano, NPStony Brook, NY 117941033647623
Common questions
What is Jacklyn Gannon's NPI number?
Jacklyn Gannon's National Provider Identifier (NPI) is 1841078359, issued on Sep 18, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Jacklyn Gannon located?
The NPPES record lists a practice address at 101 Nicolls RD, Stony Brook, NY, 11794. Phone: (631) 638-1036. Providers update this record themselves, so call before visiting.
How can I verify Jacklyn Gannon's license?
NPPES lists New York license number 405347, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
How much does Jacklyn Gannon prescribe under Medicare Part D?
In 2024, Jacklyn Gannon had 1,148 Medicare Part D claims for 130 beneficiaries; the average among psychiatric/mental health nurse practitioner prescribers was 906. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.