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KRISTAL M CANNICI FNP-BC
NPI 1174490122
Nurse Practitioner - Family in Dover, NJ

Active since October 22, 2025PECOS Enrolled
375 E MCFARLAN ST STE 2, DOVER, NJ 07801(973) 366-5859(973) 366-0026 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristal M Cannici Fnp-bc NPPES

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

KRISTAL M CANNICI FNP-BC (NPI 1174490122) is an individual family provider in Dover, New Jersey, licensed in New Jersey (26NJ15396200) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174490122
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTAL M CANNICICredential: FNP-BC
Location Address375 E MCFARLAN ST STE 2Dover, NJ 07801-3628
Mailing AddressPo Box 95000, Lb#7550Philadelphia, PA 19195-7550 · (844) 362-1735
Phone(973) 366-5859
Fax(973) 366-0026
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 22, 2025
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1174490122 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 NJ · 26NJ15396200
375 E MCFARLAN ST STE 2, Dover, NJ 07801
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristal M Cannici Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224508551
PECOS Enrollment IDI20260528001926
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 07801 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Kristal Cannici's NPI number?

The NPI number for Kristal Cannici is 1174490122. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Kristal Cannici located?

Kristal Cannici practices at 375 E Mcfarlan St Ste 2, Dover, NJ 07801. The listed phone number is (973) 366-5859.

What is Kristal Cannici's specialty?

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

Is Kristal Cannici enrolled in Medicare?

Yes. Kristal Cannici is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristal Cannici was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.