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ANDY ALLEN CANNON APRN
NPI 1104558527
Nurse Practitioner - Acute Care in Tulsa, OK

Active since June 24, 2022PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
2000 S WHEELING AVE STE 200, TULSA, OK 74104(918) 748-7854(918) 403-6335 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Jul 13, 2022 (2 updates tracked since 2022).

About Andy Allen Cannon Aprn NPPES

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

ANDY ALLEN CANNON APRN (NPI 1104558527) is an individual acute care provider in Tulsa, Oklahoma, licensed in Oklahoma (208609) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104558527
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameANDY ALLEN CANNONCredential: APRN
Location Address2000 S WHEELING AVE STE 200Tulsa, OK 74104-5656
Mailing Address2000 S Wheeling Ave Ste 200Tulsa, OK 74104-5656 · (918) 748-7854 · Fax (918) 403-6335
Phone(918) 748-7854
Fax(918) 403-6335
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 24, 2022
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1104558527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OK · 208609
2000 S WHEELING AVE STE 200, Tulsa, OK 74104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Andy Allen Cannon Aprn 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 ID3072995125
PECOS Enrollment IDI20220805000815
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

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.

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
25 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

Other Providers at the Same Location NPPES 4

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

MOHAMMAD YASHAR S KALANI MD
Neurological Surgery
2000 S WHEELING AVE STE 200
TULSA, OK 74104
Tulsa County (918) 748-7854
NIKKI ACUFF
Physician Assistant
2000 S WHEELING AVE STE 200
TULSA, OK 74104
Tulsa County (918) 748-7854
INGRID PATTON APRN CNP CNS
Nurse Practitioner (Acute Care)
2000 S WHEELING AVE STE 200
TULSA, OK 74104
Tulsa County (918) 748-7854
SPINAL NEUROSURGICAL ASSOCIATES, P.A.
Neurological Surgery
2000 S WHEELING AVE STE 200
TULSA, OK 74104
Tulsa County (918) 748-7854

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 Andy Cannon's NPI number?

The NPI number for Andy Cannon is 1104558527. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Andy Cannon located?

Andy Cannon practices at 2000 S Wheeling Ave Ste 200, Tulsa, OK 74104. The listed phone number is (918) 748-7854.

What is Andy Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Andy Cannon enrolled in Medicare?

Yes. Andy 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 Andy Cannon accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Andy 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 Andy Cannon was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.