MELISSA THICK CANNON APRN FNP-C
NPI 1417601709
Nurse Practitioner - Family in Callahan, FL

Q: What is Melissa Cannon's NPI number?

The NPI number for Melissa Cannon is 1417601709. It was assigned to this individual provider in the NPPES registry on February 7, 2022.

Q: What is Melissa Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Cannon was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 07, 2022PECOS Enrolled

77.4/100

CMS Quality Rating

542325 US HIGHWAY 1, CALLAHAN, FL 32011(904) 879-4233 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Melissa Thick Cannon Aprn Fnp-c NPPES

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

MELISSA THICK CANNON APRN FNP-C (NPI 1417601709) is an individual family provider in Callahan, Florida, licensed in Florida (11017973) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417601709

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA THICK CANNONCredential: APRN FNP-C

Location Address542325 US HIGHWAY 1Callahan, FL 32011-6496

Mailing Address9667 Black Jack RdMacclenny, FL 32063-4517 · (904) 887-9340

Phone(904) 879-4233

Sole ProprietorNo

Enumeration DateFebruary 7, 2022

NPPES CertifiedFebruary 7, 2022

✔ NPI 1417601709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11017973

542325 US HIGHWAY 1, Callahan, FL 32011

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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)

Melissa Thick Cannon Aprn Fnp-c 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 32011 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.24

Improvement Activities

Cost

59.06

Other Providers at the Same Location NPPES 14

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

FAITH ANN ADAMS APRN

Nurse Practitioner (Family)