KENDALL CANNON NP
NPI 1427702331
Nurse Practitioner - Psychiatric/Mental Health in Holloman Afb, NM

Q: What is Kendall Cannon's NPI number?

The NPI number for Kendall Cannon is 1427702331. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Q: What is Kendall Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kendall Cannon was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 09, 2022PECOS Enrolled

280 DAVID L GOLDFEIN ST BLDG 23, HOLLOMAN AFB, NM 88330(575) 572-2778 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2025, Feb 10, 2022 (2 updates tracked since 2022).

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About Kendall Cannon Np NPPES

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

KENDALL CANNON NP (NPI 1427702331) is an individual psychiatric/mental health provider in Holloman Afb, New Mexico, licensed in Maryland (R203938) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427702331

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKENDALL CANNONCredential: NP

Location Address280 DAVID L GOLDFEIN ST BLDG 23Holloman Afb, NM 88330-8273

Mailing Address3050 White Sands CtHolloman Air Force Base, NM 88330-8132 · (301) 268-3020

Phone(575) 572-2778

Sole ProprietorNo

Enumeration DateFebruary 9, 2022

Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration

NPPES CertifiedMarch 10, 2025

✔ NPI 1427702331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R203938

280 DAVID L GOLDFEIN ST BLDG 23, Holloman Afb, NM 88330

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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)

Kendall Cannon Np 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 88330 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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 20

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

BRENNAN DREWRY

Counselor (Addiction (Substance Use Disorder))