SPENCER CANNON R.N.
NPI 1346525201
Nurse Practitioner - Pediatrics in Salt Lake City, UT
About Spencer Cannon R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPENCER CANNON R.N. (NPI 1346525201) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (8038048-4405) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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)
Spencer Cannon R.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Spencer Cannon's NPI number?
The NPI number for Spencer Cannon is 1346525201. It was assigned to this individual provider in the NPPES registry on October 11, 2011.
Where is Spencer Cannon located?
Spencer Cannon practices at 161 S Dooley Ct, Salt Lake City, UT 84102. The listed phone number is (801) 696-8513.
What is Spencer Cannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Spencer Cannon enrolled in Medicare?
Yes. Spencer Cannon is registered in the Medicare PECOS enrollment system.
What insurance does Spencer Cannon accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Spencer 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 Spencer Cannon was last updated on March 4, 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.
# Spencer Cannon, R.N. · NPI 1346525201
Pediatrics physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since October 11, 2011.
## Identity
- **NPI:** 1346525201 (Entity type: Individual)
- **Enumerated:** October 11, 2011
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 8038048-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 161 S DOOLEY CT, Salt Lake City, UT 84102-4104
- **Phone:** (801) 696-8513
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1346525201) · Data from the CMS NPPES public registry.