MARYURI BRICENO CANNON MD
NPI 1376170944
Pediatrics in Jacksonville, FL

Q: What is Maryuri Cannon's NPI number?

The NPI number for Maryuri Cannon is 1376170944. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Maryuri Cannon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Maryuri Cannon was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 24, 2020PECOS Enrolled

653-1 W 8TH ST FL 4, JACKSONVILLE, FL 32209(904) 633-4199(904) 633-4188 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Mar 24, 2020 (2 updates tracked since 2020).

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About Maryuri Briceno Cannon Md NPPES

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

MARYURI BRICENO CANNON MD (NPI 1376170944) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME161065) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376170944

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARYURI BRICENO CANNONCredential: MD

Location Address653-1 W 8TH ST FL 4Jacksonville, FL 32209-6511

Mailing Address11684 White Dogwood Rd # 32256Jacksonville, FL 32256-8188 · (786) 683-7852

Phone(904) 633-4199

Fax(904) 633-4188

Sole ProprietorNo

Enumeration DateMarch 24, 2020

Last NPPES UpdateJune 20, 20232 updates tracked since enumeration

NPPES CertifiedJune 20, 2023

✔ NPI 1376170944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME161065

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

653-1 W 8TH ST FL 4, Jacksonville, FL 32209

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryuri Briceno Cannon Md 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 32209 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 7

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

ANN HAROUNY CONNERY

Student in an Organized Health Care Education/Training Program