KENT WESLEY CANNON PSY.D.
NPI 1194581660
Psychologist - Clinical in Lincoln, NE

Active since February 22, 2024PECOS EnrolledAccepts Medicare Assignment
2300 S 16TH ST, LINCOLN, NE 68502(402) 481-5636 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kent Wesley Cannon Psy.d. NPPES

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

KENT WESLEY CANNON PSY.D. (NPI 1194581660) is an individual clinical provider in Lincoln, Nebraska, licensed in Nebraska (1046) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1194581660
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameKENT WESLEY CANNONCredential: PSY.D.
Location Address2300 S 16TH STLincoln, NE 68502-3704
Mailing Address2300 S 16th StLincoln, NE 68502-3704 · (402) 481-5636
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 22, 2024
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
NPI 1194581660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NE · 1046
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2300 S 16TH ST, Lincoln, NE 68502

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

Kent Wesley Cannon Psy.d. 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 ID244773679
PECOS Enrollment IDI20240613003256
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 68502 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
$160.21 typical visit price
range $52.69 – $160.21
Typical copayment $40.05 (range $13.17 – $40.05)
Most-billed visit code 99205
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

Surgery (Trauma Surgery)
2300 S 16TH ST
LINCOLN, NE 68502
Surgery
2300 S 16TH ST
LINCOLN, NE 68502
Emergency Medicine
2300 S 16TH ST
LINCOLN, NE 68502
Internal Medicine
2300 S 16TH ST
LINCOLN, NE 68502
Internal Medicine
2300 S 16TH ST
LINCOLN, NE 68502
Internal Medicine
2300 S 16TH ST
LINCOLN, NE 68502
Social Worker (Clinical)
2300 S 16TH ST
LINCOLN, NE 68502
Physician Assistant (Surgical)
2300 S 16TH ST
LINCOLN, NE 68502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194581660, enumerated as an "individual" on February 22, 2024.

The provider is located at 2300 S 16TH ST LINCOLN, NE 68502 and the phone number is (402) 481-5636.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska and Medica. Please consult your insurance carrier or call the provider to verify.