MRS. KELLY CANNON APRN, FNP-BC
NPI 1184270209
Nurse Practitioner in Fort Pierce, FL
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
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
5Medicare enrollment records show Kelly Cannon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Pierce, FL 34950
- Reassigned Medicare billing, Florida enrollment
- 210 clinicians in this Medicare group
Stuart, FL 34996
- Reassigned Medicare billing, Florida enrollment
- 35 clinicians in this Medicare group
Stuart, FL 34994
- Reassigned Medicare billing, Florida enrollment
- 247 clinicians in this Medicare group
West Palm Beach, FL 33409
- Reassigned Medicare billing, Florida enrollment
- 373 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 1,912 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 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.
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.
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.
FORT PIERCE, FL 34950
FORT PIERCE, FL 34950
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 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.
Where is Kelly Cannon located?
Kelly Cannon practices at 1700 S 23rd St, Fort Pierce, FL 34950. The listed phone number is (772) 461-4000.
What is Kelly Cannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelly Cannon enrolled in Medicare?
Yes. Kelly Cannon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Cannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Cannon reassigns Medicare benefits to 5 organizations: Fl-I Medical Services, LLC (Fort Pierce, FL), Michele F Libman MD PA (Stuart, FL), Jupiter Medical Center Physicians Group Inc (Stuart, FL), MD Now Medical Centers Inc (West Palm Beach, FL) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). 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 Kelly Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Cannon accept?
Health plans from Oscar Health Maintenance Organization of Florida list Kelly 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 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 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.
# Mrs. Kelly Cannon, APRN, FNP-BC · NPI 1184270209
Nurse Practitioner physician in Fort Pierce, Florida. Individual provider, active in the CMS NPPES registry since August 14, 2019.
## Identity
- **NPI:** 1184270209 (Entity type: Individual)
- **Enumerated:** August 14, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN11005031 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 S 23RD ST, Fort Pierce, FL 34950-4803
- **Phone:** (772) 461-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Fl-I Medical Services, LLC (NPI 1750655106, Fort Pierce, FL); Michele F Libman MD PA (NPI 1255410288, Stuart, FL); Jupiter Medical Center Physicians Group Inc (NPI 1306351481, Stuart, FL); MD Now Medical Centers Inc (NPI 1033195474, West Palm Beach, FL); Emergency Medicine Services Of Fl, LLC (NPI 1043917180, Aventura, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2024
- **Other identifiers:** Other 1184270209 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1184270209) · Data from the CMS NPPES public registry.