THOMAS JUDAH GANN N.P. NPI 1073866406

NPI Information

  • NPI: 1073866406
  • Provider Name: THOMAS JUDAH GANN, N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3625 CROSSINGS DR
    PRESCOTT, AZ
    ZIP 86305
  • Phone: (928) 277-0875

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NPI Details

Thomas Judah Gann, N.P. is a family nurse practitioner in Prescott, AZ with 14 years of experience. Thomas Judah Gann, N.P. NPI is 1073866406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3625 CROSSINGS DR
PRESCOTT, AZ
ZIP 86305-159
Phone: (928) 277-0875

The NPI 1073866406 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Removal of impacted ear wax (HCPCS:69210)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 10/23/2012 and was last updated on 1/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily22365CALIFORNIANo
2363LF0000XNurse PractitionerFamilyAP5718ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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