NPPES file of Aug 9, 2026

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.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1841078359
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
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 101 Nicolls RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Arshia Aalami Harandi, MD, MSStudent in an Organized Health Care Education/Training Program1033810627
  2. Sadia Abbasi, MDInternal Medicine Physician1740442698
  3. Alan Abboud, MDStudent in an Organized Health Care Education/Training Program1891498531
  4. Verona AbdelmesehStudent in an Organized Health Care Education/Training Program1558926022
  5. Rula Abdulrahman, M.D.Nephrology Physician1790180776
  6. Dua AbedeenStudent in an Organized Health Care Education/Training Program1457153934

Verify Jacklyn Gannon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 405347
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

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.

  1. Jacklyn Gannon1,148
  2. Specialty average906

Most prescribed

  1. Clonazepam61 claims
  2. Quetiapine Fumarate57 claims
  3. Alprazolam53 claims
  4. Bupropion Xl50 claims
  5. Sertraline Hcl47 claims
  6. 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.

  1. Jacklyn Gannon$617.44
  2. Specialty average$1,027.77

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

  1. 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.

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Marjory BeaubrunStony Brook, NY 117941083375125
  2. Christine BujacichStony Brook, NY 117941982387163
  3. Laura Chan, NP, LCSW-RStony Brook, NY 117941235288614
  4. Sandra Edwards, N.P.Stony Brook, NY 117941750542908
  5. Christopher GraffittiStony Brook, NY 117941366054645
  6. Thomas HicksStony Brook, NY 117941306684261
  7. Cheranne Morse, NPPStony Brook, NY 117941861625097
  8. 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.