MISTY DAWN CANNON NP
NPI 1427886159
Nurse Practitioner - Acute Care in Tulsa, OK

Q: What is Misty Cannon's NPI number?

The NPI number for Misty Cannon is 1427886159. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Q: What is Misty Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Misty Cannon was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 24, 2024PECOS EnrolledAccepts Medicare Assignment

6161 S YALE AVE, TULSA, OK 74136(918) 494-2200 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Misty Dawn Cannon Np NPPES

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

MISTY DAWN CANNON NP (NPI 1427886159) is an individual acute care provider in Tulsa, Oklahoma, licensed in Oklahoma (219327) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1427886159

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMISTY DAWN CANNONCredential: NP

Location Address6161 S YALE AVETulsa, OK 74136-1902

Mailing Address6600 S Yale Ave Ste 1200Tulsa, OK 74136-3361

Phone(918) 494-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 24, 2024

Last NPPES UpdateSeptember 29, 2025

NPPES CertifiedSeptember 29, 2025

✔ NPI 1427886159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OK · 219327

6161 S YALE AVE, Tulsa, OK 74136

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Misty Dawn Cannon Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496296659

PECOS Enrollment IDI20240916002561

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370025

Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County

Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370091

Location6161 South YaleTulsa, OK 74136 · Tulsa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

ALEX BRYAN OLSEN M.D.

Surgery (Surgical Critical Care)