MRS. COLLEEN G CANNON CFNP
NPI 1518994672
Nurse Practitioner - Family in Jackson, MS
About Mrs. Colleen G Cannon Cfnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. COLLEEN G CANNON CFNP (NPI 1518994672) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R850953) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Colleen G Cannon Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Colleen Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Colleen Cannon's NPI number?
The NPI number for Colleen Cannon is 1518994672. It was assigned to this individual provider in the NPPES registry on June 26, 2006.
Where is Colleen Cannon located?
Colleen Cannon practices at 2500 N State St Division Of Infectious Disease, Jackson, MS 39216. The listed phone number is (601) 984-5560.
What is Colleen Cannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Colleen Cannon enrolled in Medicare?
Yes. Colleen Cannon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Colleen Cannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Cannon reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). 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 Colleen Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Colleen Cannon was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Colleen G Cannon, CFNP · NPI 1518994672
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since June 26, 2006.
## Identity
- **NPI:** 1518994672 (Entity type: Individual)
- **Enumerated:** June 26, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R850953 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, DIVISION OF INFECTIOUS DISEASE, Jackson, MS 39216-4500
- **Phone:** (601) 984-5560 · **Fax:** (601) 984-5565
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2014
- **Other identifiers:** Medicaid 08153779 (MS); Medicare PIN 500001350 (MS); Other P00815217 (MS); and 5 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1518994672) · Data from the CMS NPPES public registry.