MRS. LILLIAN DEANN CANNON PA
NPI 1174875991
Physician Assistant in Casper, WY
About Mrs. Lillian Deann Cannon Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LILLIAN DEANN CANNON PA (NPI 1174875991) is an individual physician assistant in Casper, Wyoming and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Casper, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Mrs. Lillian Deann Cannon Pa 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 82609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lillian Cannon's NPI number?
The NPI number for Lillian Cannon is 1174875991. It was assigned to this individual provider in the NPPES registry on October 3, 2012.
Where is Lillian Cannon located?
Lillian Cannon practices at 2241 Farnum St Ste 105, Casper, WY 82609. The listed phone number is (307) 295-7288.
What is Lillian Cannon's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Lillian Cannon enrolled in Medicare?
Yes. Lillian 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 Lillian Cannon accept?
Health plans from Blue Cross Blue Shield of Wyoming, Medica and UnitedHealthcare list Lillian 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 Lillian Cannon was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Lillian Deann Cannon, PA · NPI 1174875991
Physician Assistant physician in Casper, Wyoming. Individual provider, active in the CMS NPPES registry since October 3, 2012.
## Identity
- **NPI:** 1174875991 (Entity type: Individual)
- **Enumerated:** October 3, 2012
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2241 FARNUM ST STE 105, Casper, WY 82609-4108
- **Phone:** (307) 295-7288 · **Fax:** (307) 333-1352
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 23, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1174875991) · Data from the CMS NPPES public registry.