MS. JACQUELYN DANETTE CANNON ARNP
NPI 1558536490
Nurse Practitioner - Acute Care in Jacksonville, FL

Q: What is Jacquelyn Cannon's NPI number?

The NPI number for Jacquelyn Cannon is 1558536490. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Q: What is Jacquelyn Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Cannon was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since April 22, 2008PECOS EnrolledAccepts Medicare Assignment

11513 N MAIN ST, JACKSONVILLE, FL 32218(855) 674-7400(904) 730-1037 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 7, 2023, Oct 27, 2023, Jun 21, 2023 (3 updates tracked since 2023).

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About Ms. Jacquelyn Danette Cannon Arnp NPPES

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

MS. JACQUELYN DANETTE CANNON ARNP (NPI 1558536490) is an individual acute care provider in Jacksonville, Florida, licensed in Florida (ARNP9169833) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1558536490

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMS. JACQUELYN DANETTE CANNONCredential: ARNP

Location Address11513 N MAIN STJacksonville, FL 32218-4002

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774

Phone(855) 674-7400

Fax(904) 730-1037

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateApril 22, 2008

Last NPPES UpdateAugust 20, 20253 updates tracked since enumeration

NPPES CertifiedAugust 20, 2025

✔ NPI 1558536490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · ARNP9169833

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN (NH)

11513 N MAIN ST, Jacksonville, FL 32218

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Other Identifiers 3

OtherARNP9169833FL · Florida Board Of Nusing License #

Medicaid580304754AGA

Medicaid0031120-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.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

Ms. Jacquelyn Danette Cannon Arnp 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 ID4587724307

PECOS Enrollment IDI20081124000096

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 4

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

53 services31 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

23 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services14 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

TIFFANY B JONES

Nurse Practitioner (Family)