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

Jeremy Neal Gannon, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1689246589

Jeremy Neal Gannon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, West Virginia. Qualified in 2021, 5 years ago. Practices with Northstar Anesthesia of West Virginia PLLC, a 124-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
5
Licensed in
WV
In the registry since
2021
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

501 Morris St
Charleston, WV 25301-1326
Phone: (304) 388-5432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Hospital Dr, Hurricane, WV 25526-9202 — (304) 720-8816

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 110057 (WV)

Record details

NPI number1689246589
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 12, 2021
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northstar Anesthesia Of West Virginia Pllc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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