Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nancy Ellen Gannon, PA-C

Individual provider Surgical Physician Assistant · NPI 1689191934

Nancy Ellen Gannon, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2017, 9 years ago. Practices with Ortholonestar PLLC, a 415-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9301 N Central Expy Ste 500
Dallas, TX 75231-0805
Phone: (214) 220-2468
Fax: (214) 720-1982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 Gaylord Pkwy Ste 710, Frisco, TX 75034-9635 — (214) 220-2468

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA11401 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1689191934
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2017
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ortholonestar Pllc — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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