Jackson Gannon, PA-C
NPI 1790357358 · Surgical Physician Assistant · Omaha, NE
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Gannon, PA-C is a Surgical Physician Assistant provider in Omaha, NE (NPI 1790357358).
Provider details
- NPI number
- 1790357358
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 2632 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
4 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$387 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-07-13
- Last updated
- 2021-07-13
- Certified
- 2021-07-13
Frequently asked questions
- What is Jackson Gannon's NPI number?
- Jackson Gannon's National Provider Identifier (NPI) is 1790357358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Gannon's specialty?
- Jackson Gannon is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jackson Gannon located?
- Jackson Gannon's practice location on file with NPPES is 8200 Dodge St, Omaha, NE 68114-4113.
- What is Jackson Gannon's phone number?
- The practice phone number listed in the NPPES registry for Jackson Gannon is (402) 955-8600.
- Does Jackson Gannon accept Medicare?
- Jackson Gannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackson Gannon's NPI active?
- Yes — Jackson Gannon's NPI (1790357358) is active in the NPPES registry as of the last update on 2021-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.