JENNIFER C CANNON D.O.
NPI 1487996930
Obstetrics & Gynecology in Grand Rapids, MI

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
221 MICHIGAN ST NE STE 600, GRAND RAPIDS, MI 49503(616) 774-7035 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 29, 2018, Aug 28, 2018, Jul 11, 2017 and 1 more (4 updates tracked since 2017).

About Jennifer C Cannon D.o. NPPES

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

JENNIFER C CANNON D.O. (NPI 1487996930) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (5101020706) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1487996930
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJENNIFER C CANNONCredential: D.O.
Location Address221 MICHIGAN ST NE STE 600Grand Rapids, MI 49503
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 22, 2013
Last NPPES UpdateNovember 29, 20184 updates tracked since enumeration
NPI 1487996930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 5101020706
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
221 MICHIGAN ST NE STE 600, Grand Rapids, MI 49503

Other Identifiers 1

Medicaid226756AZ

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

Jennifer C Cannon D.o. 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 ID7719116326
PECOS Enrollment IDI20180824002824
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.

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503

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 Jennifer Cannon's NPI number?

The NPI number for Jennifer Cannon is 1487996930. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Jennifer Cannon located?

Jennifer Cannon practices at 221 Michigan St NE Ste 600, Grand Rapids, MI 49503. The listed phone number is (616) 774-7035.

What is Jennifer Cannon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jennifer Cannon enrolled in Medicare?

Yes. Jennifer 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 Jennifer Cannon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Jennifer 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.

Is Jennifer Cannon affiliated with any hospitals?

According to CMS data, Jennifer Cannon is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Jennifer Cannon was last updated on November 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.