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KATELYN M CANNON NP
NPI 1538899224
Nurse Practitioner in Newburgh, IN

Active since June 15, 2022PECOS EnrolledAccepts Medicare Assignment
4015 GATEWAY BLVD, NEWBURGH, IN 47630(812) 858-6244(812) 858-6240 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katelyn M Cannon Np NPPES

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

KATELYN M CANNON NP (NPI 1538899224) is an individual nurse practitioner in Newburgh, Indiana, licensed in Indiana (71012883A) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1538899224
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATELYN M CANNONCredential: NP
Location Address4015 GATEWAY BLVDNewburgh, IN 47630-8925
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 858-6244 · Fax (812) 858-6240
Phone(812) 858-6244
Fax(812) 858-6240
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 15, 2022
Last NPPES UpdateAugust 10, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1538899224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71012883A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4015 GATEWAY BLVD, Newburgh, IN 47630
Open in Google Maps ↗

Other Names 1

Former Name (1)Katelyn M Bullock

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Katelyn M Cannon Np 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 ID6103209374
PECOS Enrollment IDI20220822000222
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 5

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.
494 services275 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.
66 services66 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.
27 services26 patients
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
24 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Women's Hospital The

Acute Care Hospitals · Newburgh, IN
5/5 CMS rating
OwnershipProprietary
CMS Certification Number150149
Location4199 Gateway BlvdNewburgh, IN 47630 · Warrick County
Emergency services Birthing friendly

Gibson General Hospital

Critical Access Hospitals · Princeton, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151319
Location1808 Sherman DrPrinceton, IN 47670 · Gibson County
Emergency services

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180056
Location1305 N Elm StHenderson, KY 42420 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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.

DR. JENNIFER MORGAN SANDERS AU.D., CCC-A, FAAA
Audiologist
4015 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 425-2646
SCOTT E MITCHELL PA-C
Physician Assistant (Surgical)
4015 GATEWAY BLVD, SUITE 2120
NEWBURGH, IN 47630
Warrick County (812) 842-0907
RUSTON L STOLTZ M.D.
Family Medicine
4015 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 858-9400
HUNTER HICKS DO
Family Medicine
4015 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 858-9400
DR. LEE S WAGMEISTER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4015 GATEWAY BLVD, SUITE 2120
NEWBURGH, IN 47630
Warrick County (812) 842-0907
KATHLEEN MARIE DUNN NP
Nurse Practitioner
4015 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 858-9400
KRISTIN LEIGH JOINER NP
Nurse Practitioner
4015 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 426-9545
GIFTY E UTHUP AUD
Audiologist
4015 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 425-2646

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 Katelyn Cannon's NPI number?

The NPI number for Katelyn Cannon is 1538899224. It was assigned to this individual provider in the NPPES registry on June 15, 2022. The provider is also known as Katelyn M Bullock.

Where is Katelyn Cannon located?

Katelyn Cannon practices at 4015 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 858-6244.

What is Katelyn Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katelyn Cannon enrolled in Medicare?

Yes. Katelyn 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 Katelyn Cannon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Katelyn 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 Katelyn Cannon affiliated with any hospitals?

According to CMS data, Katelyn Cannon is affiliated with Deaconess Hospital Inc, Women's Hospital The, Gibson General Hospital and Deaconess Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Katelyn Cannon was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.