REBECCA SUZANNE ISABELLE CANON ARNP
NPI 1043803125
Nurse Practitioner - Pediatrics in Pensacola, FL

Q: What is Rebecca Canon's NPI number?

The NPI number for Rebecca Canon is 1043803125. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Q: What is Rebecca Canon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Canon was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 18, 2021PECOS Enrolled

4951 GRANDE DR, PENSACOLA, FL 32504(850) 473-0100(850) 473-0500 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 2, 2021, Feb 18, 2021 (2 updates tracked since 2021).

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About Rebecca Suzanne Isabelle Canon Arnp NPPES

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

REBECCA SUZANNE ISABELLE CANON ARNP (NPI 1043803125) is an individual pediatrics provider in Pensacola, Florida, licensed in Florida (APRN11011563) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2020).

NPPES Registry Identity

NPI1043803125

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameREBECCA SUZANNE ISABELLE CANONCredential: ARNP

Location Address4951 GRANDE DRPensacola, FL 32504-8965

Mailing Address4951 Grande DrPensacola, FL 32504-8965 · (850) 473-0100 · Fax (850) 473-0500

Phone(850) 473-0100

Fax(850) 473-0500

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2020

Enumeration DateFebruary 18, 2021

Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration

NPPES CertifiedMarch 31, 2022

✔ NPI 1043803125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in FL · APRN11011563

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11011563 (FL)

4951 GRANDE DR, Pensacola, FL 32504

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Other Identifiers 1

Medicaid109796100FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Suzanne Isabelle Canon Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890287007

PECOS Enrollment IDI20251125002454

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 17

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

MR. ROGER C CLUBBS MD

Pediatrics