MELANIE SUSAN CANNON ARNP
NPI 1174827133
Nurse Practitioner - Family in Fairbanks, AK

Q: What is Melanie Cannon's NPI number?

The NPI number for Melanie Cannon is 1174827133. It was assigned to this individual provider in the NPPES registry on January 6, 2011. The provider is also known as Melanie Susan Crisp.

Q: What is Melanie Cannon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melanie Cannon was last updated on December 6, 2024. 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 January 06, 2011PECOS EnrolledAccepts Medicare Assignment

1717 W COWLES ST, FAIRBANKS, AK 99701(907) 452-6682 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2024, Mar 2, 2021, Apr 3, 2019 and 1 more (4 updates tracked since 2018).

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About Melanie Susan Cannon Arnp NPPES

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

MELANIE SUSAN CANNON ARNP (NPI 1174827133) is an individual family provider in Fairbanks, Alaska, licensed in Illinois (209008933) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174827133

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELANIE SUSAN CANNONCredential: ARNP

Location Address1717 W COWLES STFairbanks, AK 99701-5926

Mailing Address1717 W Cowles StFairbanks, AK 99701-5926 · (907) 452-6682

Phone(907) 452-6682

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 6, 2011

Last NPPES UpdateDecember 6, 20244 updates tracked since enumeration

NPPES CertifiedDecember 6, 2024

✔ NPI 1174827133 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

Licenses✔ Licensed in IL · 209008933✔ Licensed in FL · ARNP9283382

1717 W COWLES ST, Fairbanks, AK 99701

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Other Names 1

Former Name (1)Melanie Susan Crisp

Other Identifiers 2

Other59-2420282FL · Tax Id

Medicaid1713806AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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

Melanie Susan Cannon Arnp 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 ID1254510647

PECOS Enrollment IDI20240413000297

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 5

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 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.

77 services62 patients

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.

55 services50 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

40 services32 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

29 services26 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by charlie May 30, 2025

5/5

excellent communication skills, compassionate, caring, skillful, patient. Love her!

Provider 5/5 Office Staff 5/5

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Other Providers at the Same Location NPPES 20

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

ANNE BURTNESS

Dietitian, Registered