Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Gabrielle Gannon , PA-C

Physician Assistant โ€ข St Augustine, FL

Active NPI 1669169835 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

45 Groover Loop
St Augustine, FL 320866548

Call 9046340640 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

45 Groover Loop

St Augustine, FL 320866548

Telephone 9046340640
Organization at the Same NPPES Address or Phone
St. Augustine Ambulatory Surgery Center, Llc Facility NPI 1598643140

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 11 distinct additional practice-address records in Fleming Island, FL; Jacksonville, FL; Orange Park, FL and 3 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Excel Urgent Care Of Wantagh Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2023

Medicare patients

223 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $26,397 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $20,837 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

291 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,904 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Gabrielle Gannon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Gabrielle Gannon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in St Augustine and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 21 clinicians with data). Median for this group: 854. Middle half: 182 to 3,292.

Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,401 clinicians with data). Median for this group: 251. Middle half: 82 to 807.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 21 clinicians with data). Median for this group: $68,449. Middle half: $18,232 to $128,238.

Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,401 clinicians with data). Median for this group: $19,897. Middle half: $7,332 to $51,670.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 21 clinicians with data). Median for this group: $47,433. Middle half: $14,023 to $93,486.

Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,401 clinicians with data). Median for this group: $14,725. Middle half: $5,399 to $38,081.

Medicare Part D prescriptions

Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 21 clinicians with data). Median for this group: 640. Middle half: 226 to 1,238.

Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,888 clinicians with data). Median for this group: 270. Middle half: 78 to 824.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 21 clinicians with data). Median for this group: $6,873. Middle half: $1,904 to $37,992.

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Florida (2024, 4,888 clinicians with data). Median for this group: $5,195. Middle half: $699 to $69,841.

43 active clinicians are listed under Physician Assistant with a practice address in St Augustine, FL (10,554 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

2.3% of these 43 clinicians have the CMS telehealth indicator.

65.1% of these 43 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
142 129 $291.64 $87.33
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
58 56 $100.00 $34.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
45 45 $435.00 $105.80
87804 Detection test by immunoassay with direct visual observation for influenza virus
38 19 $50.00 $16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
29 29 $427.00 $124.18
81002 Urinalysis, manual test
23 22 $40.00 $3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $658.00 $162.84

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Azithromycin Azithromycin 50 251 $167.38 49
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 38 265 $228.58 36
Amoxicillin Amoxicillin 35 350 $145.25 35
Prednisone Prednisone 33 165 $57.45 32
Fluticasone Propionate Fluticasone Propionate 29 870 $265.51 24
Clindamycin Hcl Clindamycin Hcl 27 263 $251.15 26
Mupirocin Mupirocin 26 324 $197.91 26
Albuterol Sulfate Hfa Albuterol Sulfate 21 650 $459.52 21
Ciprofloxacin Hcl Ciprofloxacin Hcl 17 164 $56.36 17
Cephalexin Cephalexin 14 96 $75.37 14

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-10-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NJ 25MP00826400

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NY 031131

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9121113

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240603001546

Enrollment State Jurisdiction

NY

PECOS Control ID

3870035124

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Excel Urgent Care Of Wantagh Pllc

2960 Victory Blvd, Staten Island, NY 103146605

Phone: 7183702014

Excel Urgent Care Of Wantagh Pllc

3430 Sunrise Hwy, Wantagh, NY 117934069

Phone: 5169001600

Excel Urgent Care Of Wantagh Pllc

3894 Richmond Ave, Staten Island, NY 103125111

Phone: 3476307985

Excel Urgent Care Of Wantagh Pllc

7001 Amboy Rd, Staten Island, NY 103071444

Phone: 3478386991

Secondary Practice Locations

2627 Riverside Ave Ste 300

Jacksonville, FL 322044717

Phone: 9046340640

232 Ponte Vedra Park Dr

Ponte Vedra Beach, FL 320826600

Phone: 9046340640

1690 Us Highway 1 S

St Augustine Beach, FL 320844192

Phone: 9046340640

2 Shircliff Way Ste 605

Jacksonville, FL 322044762

Phone: 9046340640

2300 Park Ave Ste 206

Orange Park, FL 320735573

Phone: 9046340640

3055 County Road 210 W Ste 110

St Johns, FL 322597001

Phone: 9046340640

10475 Centurion Pkwy N Ste 220

Jacksonville, FL 322565004

Phone: 9046340640

4268 Oldfield Crossing Dr Ste 210

Jacksonville, FL 322237898

Phone: 9076340640

4565 Us Highway 17 Ste 200

Fleming Island, FL 320034823

Phone: 9046340640

15255 Max Legget Pkwy Ste 5300

Jacksonville, FL 322187274

Phone: 9046340640

2110 Herschel St

Jacksonville, FL 322043820

Phone: 9046340640

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Anthony Abate , PA-C

Physician Assistant

NPI 1588411623

Physician Assistant (Certified)

Dr. Jorge Acevedo , MD

Orthopaedic Surgery

NPI 1710969225

Doctor of Medicine (M.D.)

Dr. Stephen Arndt , MD

Orthopaedic Surgery

NPI 1346301322

Doctor of Medicine (M.D.)

Mark Arrigenna , PA-C

Physician Assistant

NPI 1235489287

Physician Assistant (Certified)

Dr. Alexandra Aycock , DPT

Physical Therapist

NPI 1588421077

Doctor of Physical Therapy

Dr. Carl Aycock , DPT

Physical Therapist

NPI 1699429902

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

26 Historical Events
๐Ÿ“
Updated Practice Location October 29, 2026

Registered at 45 GROOVER LOOP, ST AUGUSTINE, FL 320866548 (Tel: 9046340640)

๐Ÿ“
Updated Business Mailing Address October 29, 2026

Registered at 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 322168203 (Tel: 9046340640)

๐Ÿข
Secondary Practice Location Registered October 29, 2026

Additional practice office at 1690 US Highway 1 S, St Augustine Beach, FL 320844192

๐Ÿข
Secondary Practice Location Registered October 29, 2026

Additional practice office at 4268 Oldfield Crossing Dr Ste 210, Jacksonville, FL 322237898

๐Ÿข
Secondary Practice Location Registered October 29, 2026

Additional practice office at 2627 Riverside Ave Ste 300, Jacksonville, FL 322044717

๐Ÿข
Secondary Practice Location Registered October 29, 2026

Additional practice office at 2300 Park Ave Ste 206, Orange Park, FL 320735573

๐Ÿข
Secondary Practice Location Registered October 29, 2026

Additional practice office at 4565 US Highway 17 Ste 200, Fleming Island, FL 320034823

๐Ÿข
Secondary Practice Location Registered October 29, 2026

Additional practice office at 2 Shircliff Way Ste 605, Jacksonville, FL 322044762

๐Ÿข
Secondary Practice Location Registered October 29, 2026

Additional practice office at 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 322565004

๐Ÿข
Secondary Practice Location Registered October 29, 2026

Additional practice office at 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 320826600

๐Ÿข
Secondary Practice Location Registered October 29, 2026

Additional practice office at 3055 County Road 210 W Ste 110, St Johns, FL 322597001

๐Ÿข
Secondary Practice Location Registered October 29, 2026

Additional practice office at 15255 Max Legget Pkwy Ste 5300, Jacksonville, FL 322187274

๐Ÿข
Secondary Practice Location Registered October 29, 2026

Additional practice office at 2110 Herschel St, Jacksonville, FL 322043820

๐Ÿ‘ค
Provider Name / Credentials Updated October 29, 2026

Recorded as GABRIELLE GANNON, PA-C

๐Ÿ“
Updated Practice Location November 08, 2024

Registered at 2960 VICTORY BLVD, STATEN ISLAND, NY 103146605 (Tel: 7183702014)

๐Ÿ“
Updated Business Mailing Address November 08, 2024

Registered at 484 TEMPLE HILL RD STE 102, NEW WINDSOR, NY 125535529

๐Ÿข
Secondary Practice Location Registered November 08, 2024

Additional practice office at 7001 Amboy Rd, Staten Island, NY 103071444

๐Ÿข
Secondary Practice Location Registered November 08, 2024

Additional practice office at 3894 Richmond Ave, Staten Island, NY 103125111

๐Ÿ‘ค
Provider Name / Credentials Updated November 08, 2024

Recorded as GABRIELLE GANNON

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2024

Physician Assistant (license number reported to NPPES: NY 031131)

โœ…
NPI Profile Active April 19, 2023

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 19, 2023

Registered at 1 CAMPUS RD, STATEN ISLAND, NY 103014495 (Tel: 7183903100)

๐Ÿ“
Business Mailing Address (Initial Record) April 19, 2023

Registered at 51 PARTNERS LN, FREEHOLD, NJ 077288710 (Tel: 9172087392)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 19, 2023

Recorded as GABRIELLE FLIORENT

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2023

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration April 19, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669169835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2023
Last Update: October 29, 2026
Sole Proprietor: No

Other Physician Assistants in St Augustine

All Physician Assistants in St Augustine

Mailing Address

6800 Southpoint Pkwy Ste 300

Jacksonville, FL 322168203

Phone: 9046340640

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.