ANNIE JANE XIAO XIAO CANNON PA-C
NPI 1225737513
Physician Assistant - Surgical in Park City, UT

Q: What is Annie Cannon's NPI number?

The NPI number for Annie Cannon is 1225737513. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Q: What is Annie Cannon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Annie Cannon was last updated on November 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 27, 2023PECOS EnrolledAccepts Medicare Assignment

900 ROUND VALLEY DR, PARK CITY, UT 84060(435) 655-6600 Get Directions Write a Review

NPPES record last updated: November 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2025, Feb 27, 2023 (2 updates tracked since 2023).

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About Annie Jane Xiao Xiao Cannon Pa-c NPPES

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

ANNIE JANE XIAO XIAO CANNON PA-C (NPI 1225737513) is an individual surgical provider in Park City, Utah, licensed in Utah (14245481-1206) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2025).

NPPES Registry Identity

NPI1225737513

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameANNIE JANE XIAO XIAO CANNONCredential: PA-C

Location Address900 ROUND VALLEY DRPark City, UT 84060-7552

Mailing Address2648 E Casto LnSalt Lake City, UT 84117-6303 · (801) 664-6128

Phone(435) 655-6600

Sole ProprietorYes

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2025

Enumeration DateFebruary 27, 2023

Last NPPES UpdateNovember 9, 20252 updates tracked since enumeration

NPPES CertifiedNovember 9, 2025

✔ NPI 1225737513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in UT · 14245481-1206

900 ROUND VALLEY DR, Park City, UT 84060

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Annie Jane Xiao Xiao Cannon Pa-c 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 ID1153804711

PECOS Enrollment IDI20260311003089

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.

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.

DR. JOSHUA TURNER NAPIER MD

Internal Medicine

900 ROUND VALLEY DR
PARK CITY, UT 84060

Summit County (435) 658-7400

CALLIE BAUER LMT

Massage Therapist

900 ROUND VALLEY DR
PARK CITY, UT 84060

Summit County (435) 333-3535

TODD ANDREW BIGATEL M.D.

Internal Medicine

900 ROUND VALLEY DR
PARK CITY, UT 84060

Summit County (435) 658-7411

HEATHER ANN DARLING APRN

Nurse Practitioner (Family)

900 ROUND VALLEY DR, 250
PARK CITY, UT 84060

Summit County (435) 333-3535

IHC HEALTH SERVICES INC

Pediatrics (Neonatal-Perinatal Medicine)

900 ROUND VALLEY DR
PARK CITY, UT 84060

Summit County (435) 658-7000

MRS. ASHLEY QUADROS RDN

Dietitian, Registered

900 ROUND VALLEY DR
PARK CITY, UT 84060

Summit County (435) 658-7120

TODD MICHAEL OLSON OTR/L

Physical Medicine & Rehabilitation

900 ROUND VALLEY DR
PARK CITY, UT 84060

Summit County (435) 658-7000

IHC HEALTH SERVICES INC

Obstetrics & Gynecology (Maternal & Fetal Medicine)

900 ROUND VALLEY DR
PARK CITY, UT 84060

Summit County (435) 658-7400

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 Annie Cannon's NPI number?

The NPI number for Annie Cannon is 1225737513. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Annie Cannon located?

Annie Cannon practices at 900 Round Valley Dr, Park City, UT 84060. The listed phone number is (435) 655-6600.

What is Annie Cannon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Annie Cannon enrolled in Medicare?

Yes. Annie Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Annie Cannon was last updated on November 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.