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AMANDA CANNON
NPI 1245632157
Clinical Nurse Specialist - Adult Health in Kenly, NC

Active since September 23, 2014PECOS Enrolled
101 E 2ND ST, KENLY, NC 27542(919) 284-4025(919) 284-5965 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Cannon NPPES

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

AMANDA CANNON (NPI 1245632157) is an individual adult health provider in Kenly, North Carolina, licensed in North Carolina (5007198) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Wilson Medical Center, and is a graduate of Brody School Of Medicine At East Carolina University (2014).

NPPES Registry Identity

NPI1245632157
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameAMANDA CANNON
Location Address101 E 2ND STKenly, NC 27542-7794
Mailing AddressPo Box 275Kenly, NC 27542-0275 · (919) 284-4025 · Fax (919) 284-5965
Phone(919) 284-4025
Fax(919) 284-5965
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2014
Enumeration DateSeptember 23, 2014
Last NPPES UpdateMay 14, 2015
✔ NPI 1245632157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in NC · 5007198
101 E 2ND ST, Kenly, NC 27542
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINNCM982ANC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Cannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749509149
PECOS Enrollment IDI20150506002814
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27542 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 4

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

HAL B WOODALL MD
Internal Medicine
101 E 2ND ST
KENLY, NC 27542
Johnston County (919) 284-4025
DEVYN ALAISEA-ROOKH JOHNSON
Nurse Practitioner (Family)
101 E 2ND ST
KENLY, NC 27542
Johnston County (919) 284-4025
SARAH KATLYN SHORT
Nurse Practitioner (Family)
101 E 2ND ST
KENLY, NC 27542
Johnston County (919) 284-4025
MARGARET S HINNANT
Nurse Practitioner (Family)
101 E 2ND ST
KENLY, NC 27542
Johnston County (919) 284-4025

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 Amanda Cannon's NPI number?

The NPI number for Amanda Cannon is 1245632157. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Amanda Cannon located?

Amanda Cannon practices at 101 E 2nd St, Kenly, NC 27542. The listed phone number is (919) 284-4025.

What is Amanda Cannon's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Amanda Cannon enrolled in Medicare?

Yes. Amanda Cannon is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Cannon accept?

Health plans from Blue Cross and Blue Shield of NC list Amanda 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.

Is Amanda Cannon affiliated with any hospitals?

According to CMS data, Amanda Cannon is affiliated with Wilson Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Cannon was last updated on May 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.