Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Marc Dylan Gagnon, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508631623

Mr. Marc Dylan Gagnon, PMHNP-BC is a Nurse Practitioner in Avon, Connecticut. Qualified in 2023, 3 years ago. Practices with Harvest Healthcare LLC, a 70-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2023
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

21 Waterville Rd
Avon, CT 06001-2097
Phone: (860) 284-0182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 12627 (CT)

Record details

NPI number1508631623
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedNovember 20, 2023
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Harvest Healthcare Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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