JENNIFER CANNON
NPI 1205608239
Nurse Practitioner - Pediatrics in Fogelsville, PA
About Jennifer Cannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER CANNON (NPI 1205608239) is an individual pediatrics provider in Fogelsville, Pennsylvania, licensed in Pennsylvania (SP029023) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Jennifer Cannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jennifer Cannon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fogelsville, PA 18051
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18051 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOGELSVILLE, PA 18051
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 Jennifer Cannon's NPI number?
The NPI number for Jennifer Cannon is 1205608239. It was assigned to this individual provider in the NPPES registry on October 24, 2023.
Where is Jennifer Cannon located?
Jennifer Cannon practices at 1431 Nursery St, Fogelsville, PA 18051. The listed phone number is (610) 336-8277.
What is Jennifer Cannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jennifer Cannon enrolled in Medicare?
Yes. Jennifer Cannon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jennifer Cannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Cannon reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Fogelsville, PA), Schuylkill Health System Medical Group, Inc. (Pottsville, PA) and Family Care Centers Inc (East Stroudsburg, PA). 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 Jennifer Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Cannon accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jennifer 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 Jennifer Cannon was last updated on January 9, 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.
# Jennifer Cannon · NPI 1205608239
Pediatrics physician in Fogelsville, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 24, 2023.
## Identity
- **NPI:** 1205608239 (Entity type: Individual)
- **Enumerated:** October 24, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP029023 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1431 NURSERY ST, Fogelsville, PA 18051-1612
- **Phone:** (610) 336-8277
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1770772295, Fogelsville, PA); Schuylkill Health System Medical Group, Inc. (NPI 1063073823, Pottsville, PA); Family Care Centers Inc (NPI 1316409626, East Stroudsburg, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205608239) · Data from the CMS NPPES public registry.