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MARYURI BRICENO CANNON MD
NPI 1376170944
Pediatrics in Jacksonville, FL

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: November 08, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Emergency Physicians Inc
2.2 mi
Emergency Medicine
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 428 clinicians in this Medicare group
NPI 1285686675 (904) 396-5682

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 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 6

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
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (904) 244-3140
SCOTT JOHNSON DO
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (904) 244-3140
DR. EAMON TERENCE OLWELL MD
Emergency Medicine
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (904) 244-3140
ELIZABETH VERONICA ZOROVICH MD
Emergency Medicine
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (516) 317-1076
DR. TASNUVA RASHID MD, PHD
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (904) 244-3140
JUAN ALBERTO CARDENAS FIMBRES MD
Student in an Organized Health Care Education/Training Program
653-1 W 8TH ST FL 4
JACKSONVILLE, FL 32209
Duval County (904) 633-4199

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 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.

Where is Maryuri Cannon located?

Maryuri Cannon practices at 653-1 W 8th St Fl 4, Jacksonville, FL 32209. The listed phone number is (904) 633-4199.

What is Maryuri Cannon's specialty?

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

Is Maryuri Cannon enrolled in Medicare?

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

Which organization bills Medicare for Maryuri Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryuri Cannon reassigns Medicare benefits to Emergency Physicians Inc (Jacksonville, FL). 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 Maryuri Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.