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KATHRYN NANNETTE CANNON
NPI 1518523836
Physician Assistant in Orange Park, FL

Active since May 13, 2019PECOS Enrolled
2300 PARK AVE STE 200, ORANGE PARK, FL 32073(904) 296-2900(904) 296-1140 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 28, 2019, May 13, 2019 (2 updates tracked since 2019).

About Kathryn Nannette Cannon NPPES

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

KATHRYN NANNETTE CANNON (NPI 1518523836) is an individual physician assistant in Orange Park, Florida, licensed in Florida (PA9112385) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1518523836
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHRYN NANNETTE CANNON
Location Address2300 PARK AVE STE 200Orange Park, FL 32073-5571
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623
Phone(904) 296-2900
Fax(904) 296-1140
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 13, 2019
Last NPPES UpdateOctober 28, 20192 updates tracked since enumeration
✔ NPI 1518523836 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 FL · PA9112385
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.
2300 PARK AVE STE 200, Orange Park, FL 32073
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Nannette Cannon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567894934
PECOS Enrollment IDI20191125000220
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
523 services270 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
98 services98 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
93 services93 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims22 services$5.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

BARBARA LEIGH CRUIKSHANK MD
Family Medicine
2300 PARK AVE STE 200
ORANGE PARK, FL 32073
Clay County (904) 269-2900
DR. JUSTIN MYLES STARK D.O.
Family Medicine
2300 PARK AVE STE 200
ORANGE PARK, FL 32073
Clay County (904) 269-2900
JESSICA BOWDEN
Psychologist (Clinical)
2300 PARK AVE STE 200
ORANGE PARK, FL 32073
Clay County (904) 308-3751

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 Kathryn Cannon's NPI number?

The NPI number for Kathryn Cannon is 1518523836. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Kathryn Cannon located?

Kathryn Cannon practices at 2300 Park Ave Ste 200, Orange Park, FL 32073. The listed phone number is (904) 296-2900.

What is Kathryn Cannon's specialty?

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

Is Kathryn Cannon enrolled in Medicare?

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

What insurance does Kathryn Cannon accept?

Health plans from AvMed list Kathryn 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 Kathryn Cannon affiliated with any hospitals?

According to CMS data, Kathryn Cannon is affiliated with Ascension St Vincent's Riverside, Hca Florida Orange Park Hospital, Ascension St Vincent's Southside and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Kathryn Cannon was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.