CARRIE CANNON
NPI 1063965077
Nurse Practitioner - Psychiatric/Mental Health in Tucson, AZ

Q: What is Carrie Cannon's NPI number?

The NPI number for Carrie Cannon is 1063965077. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Q: What is Carrie Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Carrie Cannon was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 26, 2016PECOS EnrolledAccepts Medicare Assignment

93.58/100

CMS Quality Rating

50 E CROYDON PARK RD, TUCSON, AZ 85704(520) 696-3438(520) 888-2347 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, Aug 29, 2023 (2 updates tracked since 2023).

On this page

About Carrie Cannon NPPES

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

CARRIE CANNON (NPI 1063965077) is an individual psychiatric/mental health provider in Tucson, Arizona, licensed in Arizona (AP8850) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063965077

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCARRIE CANNON

Location Address50 E CROYDON PARK RDTucson, AZ 85704-5792

Mailing Address6700 E Speedway, #123, 1620 S Placita Churella, Tucson, Az 85748Tucson, AZ 85710-0000 · (520) 820-9282 · Fax (866) 403-5117

Phone(520) 696-3438

Fax(520) 888-2347

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 26, 2016

Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1063965077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · AP8850

Also ListedNurse PractitionerTaxonomy 363L00000X · License TAP8850 (AZ)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP8850 (AZ)

50 E CROYDON PARK RD, Tucson, AZ 85704

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carrie 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 ID2062709934

PECOS Enrollment IDI20160920001790

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.

Medicare Billing Reassignments

Medicare enrollment records show Carrie Cannon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dr. Gann's Diet Of Hope LLC

Same address

Internal Medicine

50 E CROYDON PARK RD
Tucson, AZ 85704

Reassigned Medicare billing, Arizona enrollment
Medicare enrollment name: Dr Ganns Diet Of Hope LLC
6 clinicians in this Medicare group

NPI 1780943696 (520) 696-3438

Cannon Health

8.0 mi

Family

6700 E SPEEDWAY BLVD.
Tucson, AZ 85710

Reassigned Medicare billing, Arizona enrollment

NPI 1609612100 (520) 800-9282

Thrive Counseling LLC

1,834 mi

Mental Health

1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504

Reassigned Medicare billing, Arizona enrollment
33 clinicians in this Medicare group

NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

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.

258 services118 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.

243 services124 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

27 services26 patients

Test to measure exhaled air for evaluation of lung function at rest 94690

This test, known as spirometry, measures how much and how quickly you can move air out of your lungs. It helps to assess lung function by determining the amount of airflow obstruction present. It's non-invasive and important for diagnosing respiratory conditions.

25 services24 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

20 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85704 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

93.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

79.46

Other Providers at the Same Location NPPES 9

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

MARIA VAN ALLEN FNP

Nurse Practitioner (Family)