MRS. KELLY CANNON APRN, FNP-BC
NPI 1184270209
Nurse Practitioner in Fort Pierce, FL

Q: What is Kelly Cannon's NPI number?

The NPI number for Kelly Cannon is 1184270209. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Q: What is Kelly Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Cannon was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 August 14, 2019PECOS Enrolled

1700 S 23RD ST, FORT PIERCE, FL 34950(772) 461-4000 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2020, Aug 14, 2020, Feb 25, 2020 and 1 more (4 updates tracked since 2019).

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About Mrs. Kelly Cannon Aprn, Fnp-bc NPPES

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

MRS. KELLY CANNON APRN, FNP-BC (NPI 1184270209) is an individual nurse practitioner in Fort Pierce, Florida, licensed in Florida (APRN11005031) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184270209

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KELLY CANNONCredential: APRN, FNP-BC

Location Address1700 S 23RD STFort Pierce, FL 34950-4803

Mailing Address210 Jupiter Lakes Blvd Ste 4105Jupiter, FL 33458-7190 · (561) 743-9938 · Fax (561) 575-0801

Phone(772) 461-4000

Sole ProprietorNo

Enumeration DateAugust 14, 2019

Last NPPES UpdateOctober 23, 20244 updates tracked since enumeration

NPPES CertifiedOctober 23, 2024

✔ NPI 1184270209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11005031

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN9312491 (FL)

1700 S 23RD ST, Fort Pierce, FL 34950

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Other Identifiers 1

Other1184270209FL · Medicare Medicaid And Other

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Cannon Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

90 services83 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

58 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34950 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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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.

SHERIDAN ROP SERVICES OF FLORIDA, INC.

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