Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer S Gannon, PA

Individual provider Medical Physician Assistant · NPI 1396703575

Jennifer S Gannon, PA is a Physician Assistant in Frederick, Maryland. Qualified in 1999, 27 years ago. Practices with Frederick Health Hospital Inc, a 194-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
27
Licensed in
MD
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

501 W 7th St
Frederick, MD 21701-4586
Phone: (301) 663-9573
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 52 Thomas Johnson Dr, Frederick, MD 21702-4300 — (301) 663-9573

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence C0002836 (MD)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C0002836 (MD)

Record details

NPI number1396703575
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Frederick Health Hospital Inc — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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