Ms Canisha Shanara Gillon, PMHNP - Medicare Nurse Practitioner in Palatka, FL

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Ms Canisha Shanara Gillon, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Palatka, Florida. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Apalachee Center Inc and her current practice location is 330 Kay Larkin Dr, Palatka, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 329-3780.

Ms Canisha Shanara Gillon is licensed to practice in Georgia (license number GAA-NP000536) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063981892.

Contact Information

Ms Canisha Shanara Gillon, PMHNP
330 Kay Larkin Dr,
Palatka, FL 32177-2307
(386) 329-3780
Not Available

Map and Direction




Provider's Profile

Full NameMs Canisha Shanara Gillon
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location330 Kay Larkin Dr, Palatka, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Canisha Shanara Gillon graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1063981892
  • Provider Enumeration Date: 11/22/2018
  • Last Update Date: 02/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446597009
  • Enrollment ID: I20190122000623

Medical Identifiers

Medical identifiers for Ms Canisha Shanara Gillon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063981892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health GAA-NP000536 (Georgia)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 9328108 (Florida)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Apalachee Center Inc357755660428

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Canisha Shanara Gillon allows following entities to bill medicare on her behalf.
Entity NameMcr Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213
Entity NameApalachee Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548360993
PECOS PAC ID: 3577556604
Enrollment ID: O20040405001882
Entity NameBalanced Wellbeing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336513639
PECOS PAC ID: 5193021848
Enrollment ID: O20160307002587
Entity NameAimergency Connect Psychcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205519907
PECOS PAC ID: 3971966300
Enrollment ID: O20230831004813

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Canisha Shanara Gillon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Canisha Shanara Gillon, PMHNP
2910 Bonita Cir,
Kissimmee, FL 34744-7224

Ph: (407) 486-2085		Ms Canisha Shanara Gillon, PMHNP
330 Kay Larkin Dr,
Palatka, FL 32177-2307

Ph: (386) 329-3780

Reviews and Comments


Nurse Practitioner Nurses in Palatka, FL

Lindsey Fletcher, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 611 Zeagler Dr, Palatka, FL 32177
Phone: 386-328-5711    
Mrs. Kathleen Anne Russell, ARNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6400 Saint Johns Ave, Palatka, FL 32177
Phone: 904-279-2200    
Kashanti Shanti Bowden,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6910 Old Wolf Bay Rd, Palatka, FL 32177
Phone: 386-328-7337    
Julia Loftus Weber, ARNP RNCS MSN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 330 Kay Larkin Drive, Palatka, FL 32177
Phone: 386-329-3780    Fax: 386-329-3786
Mr. Ronald Michael Wendt, ARNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3703 Crill Ave, Palatka, FL 32177
Phone: 386-866-9100    Fax: 386-866-1900
Carol A Bennett, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1302 River St, Palatka, FL 32177
Phone: 386-328-8371    Fax: 386-328-1519

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.