Active NPI
Andrea N McGannon, PA-C
- Physician Assistant
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9116067
- Practice address
- 2100 SE Salerno Rd
Stuart, FL 34997-6503 - Phone
- (772) 781-2735
- Fax
- (772) 781-2739
- NPI assigned
- Aug 25, 2020
- Last updated
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA9116067 | FL | Primary |
Addresses
Primary practice location
2100 SE Salerno Rd
Stuart, FL 34997-6503
Mailing address
3634 NW Adriatic LN
Jensen Beach, FL 34957-3111
Phone (440) 391-7017
Other practice location 1
275 Eastland Rd
Berea, OH 44017-2005
Phone (440) 826-6543
Other practice location 2
1050 SE Monterey Rd Ste 400
Stuart, FL 34994-4512
Phone (772) 288-2400
Other practice location 3
9401 SW Discovery Way Ste 201
Port Saint Lucie, FL 34987-2381
Phone (772) 288-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 SE Monterey Rd
Stuart, FL 34994-4512
9955 SE Federal Hwy
Hobe Sound, FL 33455-4800
Phone (772) 288-2400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9116067 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| South Florida Orthopaedics & Sports Medicine, PA | Current | Accepting new patients | |
| South Florida Orthopaedics & Sports Medicine,PA | Past | Accepting new patients |
Locations
1881 SE Tiffany Ave
Ste 202
Port St Lucie, FL 34952
9401 SW Discovery Way
Ste 201
Port St Lucie, FL 34987
1050 SE Monterey Rd
Ste 400
Stuart, FL 34994
Interoperability endpoints
- amcgannon2496328@direct.ccf.org
- andrea.mcgannonpa.d1.p1@direct.southflaortho.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Stuart, FL
- NPI 1841253374
-
- Durable Medical Equipment & Medical Supplies
- Port St Lucie, FL
- NPI 1609763440
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Durable Medical Equipment & Medical Supplies
- Stuart, FL
- NPI 1639220700
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Florida Coast Medical Center
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1003618406
-
dba HCA Florida St. Lucie Hospital
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
dba Cleveland Clinic Martin North, South, Tradition Hospitals
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1821601493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3634 NW ADRIATIC LN",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349573111",
"telephone_number": "440-391-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SE SALERNO RD",
"city": "STUART",
"state": "FL",
"postal_code": "349976503",
"telephone_number": "772-781-2735",
"fax_number": "772-781-2739"
}
],
"practiceLocations": [
{
"address_1": "275 Eastland Rd",
"address_purpose": "LOCATION",
"city": "Berea",
"state": "OH",
"postal_code": "440172005",
"country_code": "US",
"telephone_number": "440-826-6543",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 SE Monterey Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349944512",
"country_code": "US",
"telephone_number": "772-288-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9401 SW Discovery Way Ste 201",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349872381",
"country_code": "US",
"telephone_number": "772-288-2400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGANNON",
"first_name": "ANDREA",
"middle_name": "N",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-25",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.