ABIGAIL CANNON
NPI 1215872965
Nurse Practitioner - Women's Health in Longmont, CO

Q: What is Abigail Cannon's NPI number?

The NPI number for Abigail Cannon is 1215872965. It was assigned to this individual provider in the NPPES registry on April 21, 2026. The provider is also known as Abigail Clouse.

Q: What is Abigail Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Abigail Cannon was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 21, 2026PECOS Enrolled

1760 E KEN PRATT BLVD STE 201, LONGMONT, CO 80504(720) 718-8222 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Abigail Cannon NPPES

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

ABIGAIL CANNON (NPI 1215872965) is an individual women's health provider in Longmont, Colorado, licensed in Colorado (APN.1001381-NP) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215872965

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameABIGAIL CANNON

Location Address1760 E KEN PRATT BLVD STE 201Longmont, CO 80504-5311

Mailing Address1963 Winding DrLongmont, CO 80504-2415

Phone(720) 718-8222

Sole ProprietorYes

Enumeration DateApril 21, 2026

NPPES CertifiedApril 20, 2026

✔ NPI 1215872965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CO · APN.1001381-NP

1760 E KEN PRATT BLVD STE 201, Longmont, CO 80504

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Other Names 1

Former Name (1)Abigail Clouse

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail Cannon 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80504 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HANNAH FANUCCHI MD

Obstetrics & Gynecology