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DR. RACHAEL MARIE CANNON MD
NPI 1003444191
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since April 01, 2020PECOS Enrolled
3950 SW 24TH AVE APT 323, GAINESVILLE, FL 32607(352) 273-8234 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2024, Jul 21, 2023, Apr 1, 2020 (3 updates tracked since 2020).

About Dr. Rachael Marie Cannon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RACHAEL MARIE CANNON MD (NPI 1003444191) is an individual student in an organized health care education/training program in Gainesville, Florida, licensed in Florida (161549) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003444191
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. RACHAEL MARIE CANNONCredential: MD
Location Address3950 SW 24TH AVE APT 323Gainesville, FL 32607-4470
Mailing Address3950 Sw 24th Ave Apt 323Gainesville, FL 32607-4470 · (814) 574-2554
Phone(352) 273-8234
Sole ProprietorNo
Enumeration DateApril 1, 2020
Last NPPES UpdateOctober 23, 20243 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1003444191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · 161549
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPediatricsTaxonomy 208000000X · License 161549 (FL)
Also ListedHospitalistTaxonomy 208M00000X · License 161549 (FL)
3950 SW 24TH AVE APT 323, Gainesville, FL 32607
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rachael Marie Cannon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachael Cannon's NPI number?

The NPI number for Rachael Cannon is 1003444191. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Rachael Cannon located?

Rachael Cannon practices at 3950 SW 24th Ave Apt 323, Gainesville, FL 32607. The listed phone number is (352) 273-8234.

What is Rachael Cannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rachael Cannon enrolled in Medicare?

Yes. Rachael Cannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rachael Cannon was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.