COURTNEY CANNON PA
NPI 1487678124
Physician Assistant in Minneapolis, MN

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
914 S 8TH ST, S100, MINNEAPOLIS, MN 55404(612) 347-5871 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Cannon Pa NPPES

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

COURTNEY CANNON PA (NPI 1487678124) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (10020) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1487678124
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY CANNONCredential: PA
Location Address914 S 8TH ST, S100Minneapolis, MN 55404-1210
Mailing Address914 S 8th StMinneapolis, MN 55404-1210
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1487678124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 10020
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
914 S 8TH ST, Minneapolis, MN 55404

Accepted 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

Courtney 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 ID6800816588
PECOS Enrollment IDI20051221000879
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 55404 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

Internal Medicine (Addiction Medicine)
914 S 8TH ST
MINNEAPOLIS, MN 55404
Physical Medicine & Rehabilitation
914 S 8TH ST, S100
MINNEAPOLIS, MN 55404
General Practice
914 S 8TH ST, S4
MINNEAPOLIS, MN 55404
Psychiatry & Neurology (Psychiatry)
914 S 8TH ST, S100
MINNEAPOLIS, MN 55404
Physician Assistant
914 S 8TH ST
MINNEAPOLIS, MN 55404
Pharmacy (Community/Retail Pharmacy)
914 S 8TH ST
MINNEAPOLIS, MN 55404
Counselor (Mental Health)
914 S 8TH ST
MINNEAPOLIS, MN 55404
Clinical Nurse Specialist (Psychiatric/Mental Health)
914 S 8TH ST, S100
MINNEAPOLIS, MN 55404

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 Courtney Cannon's NPI number?

The NPI number for Courtney Cannon is 1487678124. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Courtney Cannon located?

Courtney Cannon practices at 914 S 8th St S100, Minneapolis, MN 55404. The listed phone number is (612) 347-5871.

What is Courtney Cannon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Cannon enrolled in Medicare?

Yes. Courtney 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.

What insurance does Courtney Cannon accept?

Health plans from HealthPartners, Medica and UnitedHealthcare list Courtney 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 Courtney Cannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.