CHRISTI MARIE CANNON PA
NPI 1437254554
Physician Assistant - Medical in Santa Rosa, CA

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
1287 FULTON RD, SANTA ROSA, CA 95401(707) 584-0672 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christi Marie Cannon Pa NPPES

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

CHRISTI MARIE CANNON PA (NPI 1437254554) is an individual medical provider in Santa Rosa, California, licensed in California (PA17597) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1437254554
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCHRISTI MARIE CANNONCredential: PA
Location Address1287 FULTON RDSanta Rosa, CA 95401-4923
Mailing Address401 Bicentennial WaySanta Rosa, CA 95403-2149
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJune 3, 2022
NPPES CertifiedJune 3, 2022
NPI 1437254554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA17597
1287 FULTON RD, Santa Rosa, CA 95401

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

Christi Marie Cannon Pa 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 ID2365409091
PECOS Enrollment IDI20041214001261
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 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
13%91 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Specialist
1287 FULTON RD
SANTA ROSA, CA 95401
Emergency Medicine
1287 FULTON RD
SANTA ROSA, CA 95401
Internal Medicine
1287 FULTON RD
SANTA ROSA, CA 95401
Emergency Medicine
1287 FULTON RD, ST JOSEPH'S URGENT CARE - FULTON CAMPUS
SANTA ROSA, CA 95401
Psychiatry & Neurology (Psychiatry)
1287 FULTON RD
SANTA ROSA, CA 95401
Marriage & Family Therapist
1287 FULTON RD
SANTA ROSA, CA 95401
Psychiatry & Neurology (Psychiatry)
1287 FULTON RD
SANTA ROSA, CA 95401
Nurse Practitioner (Primary Care)
1287 FULTON RD
SANTA ROSA, CA 95401

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 Christi Cannon's NPI number?

The NPI number for Christi Cannon is 1437254554. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Christi Cannon located?

Christi Cannon practices at 1287 Fulton Rd, Santa Rosa, CA 95401. The listed phone number is (707) 584-0672.

What is Christi Cannon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Christi Cannon enrolled in Medicare?

Yes. Christi Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Christi Cannon was last updated on June 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.