IZEGBEA M. CANNON
NPI 1013389022
Nurse Practitioner - Family in Louisville, KY

Active since October 29, 2015PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2215 PORTLAND AVE, LOUISVILLE, KY 40212(502) 774-8631(502) 772-8189 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Izegbea M. Cannon NPPES

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

IZEGBEA M. CANNON (NPI 1013389022) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3009546) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013389022
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIZEGBEA M. CANNON
Location Address2215 PORTLAND AVELouisville, KY 40212-1033
Mailing Address2215 Portland AveLouisville, KY 40212-1033 · (502) 774-8631 · Fax (502) 772-8189
Fax(502) 772-8189
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 29, 2015
NPI 1013389022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3009546
2215 PORTLAND AVE, Louisville, KY 40212

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Izegbea M. Cannon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830409291
PECOS Enrollment IDI20151116000132
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
114 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services48 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
39 services39 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services16 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Pharmacist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Pharmacist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Dentist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Pediatrics
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Obstetrics & Gynecology
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Nurse Practitioner (Adult Health)
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Nurse Practitioner
2215 PORTLAND AVE
LOUISVILLE, KY 40212

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 Izegbea Cannon's NPI number?

The NPI number for Izegbea Cannon is 1013389022. It was assigned to this individual provider in the NPPES registry on October 29, 2015.

Where is Izegbea Cannon located?

Izegbea Cannon practices at 2215 Portland Ave, Louisville, KY 40212. The listed phone number is (502) 774-8631.

What is Izegbea Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Izegbea Cannon enrolled in Medicare?

Yes. Izegbea Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Izegbea Cannon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Izegbea Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Izegbea Cannon was last updated on October 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.