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MAUREEN STORMONT CANNON AU.D.
NPI 1457810855
Audiologist in Saint Paul, MN

Active since March 15, 2019
628 BIELENBERG DR, SAINT PAUL, MN 55125(612) 874-1292 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 16, 2025, May 2, 2019, Mar 15, 2019 (3 updates tracked since 2019).

About Maureen Stormont Cannon Au.d. NPPES

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

MAUREEN STORMONT CANNON AU.D. (NPI 1457810855) is an individual audiologist in Saint Paul, Minnesota, licensed in Minnesota (10074) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1457810855
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameMAUREEN STORMONT CANNONCredential: AU.D.
Location Address628 BIELENBERG DRSaint Paul, MN 55125-1401
Mailing Address4908 Pinecroft Ave NStillwater, MN 55082-5924
Phone(612) 874-1292
Sole ProprietorNo
Enumeration DateMarch 15, 2019
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1457810855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in MN · 10074
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
628 BIELENBERG DR, Saint Paul, MN 55125
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Other Names 1

Former Name (1)Maureen Keegan Stormont

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maureen Stormont Cannon Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

5

Medicare enrollment records show Maureen Cannon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healtheast Medical Research Institute
1.5 mi
Clinic/Center
1825 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
NPI 1831145705 (651) 232-6700
Fairview Express Care
2.4 mi
Pediatric Rehabilitation Medicine
9680 TAMARACK RD, SUITE 130
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1700235587 (612) 273-1172
Childrens Health Care
7.5 mi
Multi-Specialty
345 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINICS STPL
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group
NPI 1225132566 (651) 220-6000
University Of Minnesota Health Clinics And Surgery Center Inc
13 mi
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
NPI 1003485004 (612) 273-8383
Fairview Health Services
14 mi
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1316008212 (612) 273-7838

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

Other Providers at the Same Location NPPES

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

MS. LISA SCHEIDT AU.D
Audiologist
628 BIELENBERG DR
WOODBURY, MN 55125
Washington County (612) 874-1292

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 Maureen Cannon's NPI number?

The NPI number for Maureen Cannon is 1457810855. It was assigned to this individual provider in the NPPES registry on March 15, 2019. The provider is also known as Maureen Keegan Stormont.

Where is Maureen Cannon located?

Maureen Cannon practices at 628 Bielenberg Dr, Saint Paul, MN 55125. The listed phone number is (612) 874-1292.

What is Maureen Cannon's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Maureen Cannon enrolled in Medicare?

Yes. Maureen Cannon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maureen Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Cannon reassigns Medicare benefits to 5 organizations: Healtheast Medical Research Institute (Woodbury, MN), Fairview Express Care (Woodbury, MN), Childrens Health Care (St Paul, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN) and Fairview Health Services (Minneapolis, MN). Each 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 Maureen Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maureen Cannon accept?

Health plans from Medica list Maureen Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maureen Cannon was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.