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LORENA CANNON APRN
NPI 1255992202
Nurse Practitioner in Sandy, UT

Active since June 20, 2019PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2021, Jun 20, 2019 (2 updates tracked since 2019).

About Lorena Cannon Aprn NPPES

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

LORENA CANNON APRN (NPI 1255992202) is an individual nurse practitioner in Sandy, Utah, licensed in Utah (11313685-4405) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Draper, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255992202
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORENA CANNONCredential: APRN
Location Address893 E 9400 SSandy, UT 84094-3671
Mailing Address893 E 9400 SSandy, UT 84094-3671 · (385) 335-7862
Phone(385) 335-7862
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 20, 2019
Last NPPES UpdateMarch 8, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2021
✔ NPI 1255992202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 11313685-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11313685-4405 (UT)
893 E 9400 S, Sandy, UT 84094
Open in Google Maps ↗

Secondary Practice Location 1

Location 1194 E Alpine Trail DrDraper, UT 84020-4507 · Phone (208) 351-5458

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lorena Cannon Aprn 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 ID6901213016
PECOS Enrollment IDI20210510002449
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.

Medicare Billing Reassignment

Medicare enrollment records show Lorena Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lorena Cannon LLC
Same address
Clinic/Center
893 E 9400 S
Sandy, UT 84094
  • Reassigned Medicare billing, Utah enrollment
NPI 1235721879 (385) 335-7862

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 84094 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 2

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

LORENA CANNON LLC
Clinic/Center
893 E 9400 S
SANDY, UT 84094
Salt Lake County (385) 335-7862
VANESA NICOL CANNON JUDD
Nurse Practitioner
893 E 9400 S
SANDY, UT 84094
Salt Lake County (385) 335-7862

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 Lorena Cannon's NPI number?

The NPI number for Lorena Cannon is 1255992202. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Lorena Cannon located?

Lorena Cannon practices at 893 E 9400 S, Sandy, UT 84094. The listed phone number is (385) 335-7862.

What is Lorena Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lorena Cannon enrolled in Medicare?

Yes. Lorena 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.

Which organization bills Medicare for Lorena Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorena Cannon reassigns Medicare benefits to Lorena Cannon LLC (Sandy, UT). The 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 Lorena Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorena Cannon accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 7 other insurers list Lorena 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 Lorena Cannon was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.