ANDY ALLEN CANNON APRN
NPI 1104558527
Nurse Practitioner - Acute Care in Tulsa, OK
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Andy Cannon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74104
- Reassigned Medicare billing, Oklahoma enrollment
- 820 clinicians in this Medicare group
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 300 clinicians in this Medicare group
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 1,144 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.
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.
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.
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.
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.
TULSA, OK 74104
TULSA, OK 74104
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.
Which organizations bill Medicare for Andy Cannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andy Cannon reassigns Medicare benefits to 3 organizations: St. John Physicians, Inc. (Tulsa, OK), Usacs Observation Medicine Services Of Oklahoma, LLC (Tulsa, OK) and Warren Clinic Inc (Tulsa, OK). Each 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 Andy Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andy Cannon accept?
Health plans from Blue Cross and Blue Shield of Oklahoma 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.
# Andy Allen Cannon, APRN · NPI 1104558527
Acute Care physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since June 24, 2022.
## Identity
- **NPI:** 1104558527 (Entity type: Individual)
- **Enumerated:** June 24, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 208609 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 S WHEELING AVE STE 200, Tulsa, OK 74104-5656
- **Phone:** (918) 748-7854 · **Fax:** (918) 403-6335
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. John Physicians, Inc. (NPI 1336194406, Tulsa, OK); Usacs Observation Medicine Services Of Oklahoma, LLC (NPI 1326739111, Tulsa, OK); Warren Clinic Inc (NPI 1174582282, Tulsa, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104558527) · Data from the CMS NPPES public registry.