KRISTINA MARIE CANNON
NPI 1003798729
Counselor - Professional in Butler, PA
About Kristina Marie Cannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA MARIE CANNON (NPI 1003798729) is an individual professional provider in Butler, Pennsylvania, licensed in Pennsylvania (PC018887) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristina Marie Cannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristina Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Pennsylvania enrollment
- 833 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kristina Cannon's NPI number?
The NPI number for Kristina Cannon is 1003798729. It was assigned to this individual provider in the NPPES registry on July 23, 2025.
Where is Kristina Cannon located?
Kristina Cannon practices at 211 Franklin St, Butler, PA 16001. The listed phone number is (724) 713-0975.
What is Kristina Cannon's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kristina Cannon enrolled in Medicare?
Yes. Kristina Cannon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristina Cannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Cannon reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristina Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristina Cannon was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kristina Marie Cannon · NPI 1003798729
Professional provider in Butler, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 23, 2025.
## Identity
- **NPI:** 1003798729 (Entity type: Individual)
- **Enumerated:** July 23, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** PC018887 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 211 FRANKLIN ST, Butler, PA 16001-4812
- **Phone:** (724) 713-0975
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003798729) · Data from the CMS NPPES public registry.