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CANNON NELSON MD
NPI 1457000838
Family Medicine in Saratoga Springs, UT

Active since March 22, 2022PECOS EnrolledAccepts Medicare Assignment
354 W CROSSROADS BLVD, SARATOGA SPRINGS, UT 84045(801) 341-5200 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cannon Nelson Md NPPES

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

CANNON NELSON MD (NPI 1457000838) is an individual family medicine provider in Saratoga Springs, Utah, licensed in Utah (8628880-1205) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with American Fork Hospital, and is a graduate of University Of South Florida College Of Medicine (2022).

NPPES Registry Identity

NPI1457000838
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCANNON NELSONCredential: MD
Location Address354 W CROSSROADS BLVDSaratoga Springs, UT 84045-5506
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 341-5200
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2022
Enumeration DateMarch 22, 2022
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1457000838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 8628880-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
354 W CROSSROADS BLVD, Saratoga Springs, UT 84045
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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 and accepts Medicare assignment

Cannon Nelson Md 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 ID1153717848
PECOS Enrollment IDI20251111001353
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 Cannon Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
0.8 mi
Family Medicine
354 W STATE ROAD 73
Saratoga Springs, UT 84043
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1588794648 (801) 766-4567

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84045 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 10

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

ERIC BYLUND
Counselor (Mental Health)
354 W CROSSROADS BLVD
SARATOGA SPRINGS, UT 84045
Utah County (801) 341-5200
COURTNEY BROOKE SHILL RUSSELL DO
Obstetrics & Gynecology
354 W CROSSROADS BLVD
SARATOGA SPRINGS, UT 84045
Utah County (801) 341-5200
SHANE AARON LEININGER PA-C
Physician Assistant
354 W CROSSROADS BLVD
SARATOGA SPRINGS, UT 84045
Utah County (801) 714-5585
TRAVIS EARL JARRETT DPT
Physical Therapist (Orthopedic)
354 W CROSSROADS BLVD
SARATOGA SPRINGS, UT 84045
Utah County (801) 341-5280
JUDD CHARLES ALLEN MD
Orthopaedic Surgery
354 W CROSSROADS BLVD
SARATOGA SPRINGS, UT 84045
Utah County (801) 341-5200
WENDY C DIAMOND PT, DPT
Physical Therapist
354 W CROSSROADS BLVD
SARATOGA SPRINGS, UT 84045
Utah County (801) 341-5280
NATHAN BLISS PA
Physician Assistant
354 W CROSSROADS BLVD
SARATOGA SPRINGS, UT 84045
Utah County (801) 341-5200
ISHAAH TALKER
Family Medicine
354 W CROSSROADS BLVD
SARATOGA SPRINGS, UT 84045
Utah County (801) 341-5295

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 Cannon Nelson's NPI number?

The NPI number for Cannon Nelson is 1457000838. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Cannon Nelson located?

Cannon Nelson practices at 354 W Crossroads Blvd, Saratoga Springs, UT 84045. The listed phone number is (801) 341-5200.

What is Cannon Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cannon Nelson enrolled in Medicare?

Yes. Cannon Nelson 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.

Which organization bills Medicare for Cannon Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cannon Nelson reassigns Medicare benefits to Ihc Health Services Inc (Saratoga Springs, UT). 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 Cannon Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Cannon Nelson affiliated with any hospitals?

According to CMS data, Cannon Nelson is affiliated with American Fork Hospital.

When was this NPI record last updated?

The NPPES record for Cannon Nelson was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.