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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY CANNON NP
NPI 1558838896
Nurse Practitioner - Family in Casa Grande, AZ

Active since October 24, 2018PECOS Enrolled
251 E COTTONWOOD LN, CASA GRANDE, AZ 85122(520) 413-8053 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 15, 2026, Feb 25, 2022, May 29, 2019 and 2 more (5 updates tracked since 2018).

About Kimberly Cannon Np NPPES

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

KIMBERLY CANNON NP (NPI 1558838896) is an individual family provider in Casa Grande, Arizona, licensed in Arizona (223210) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Casa Grande.

NPPES Registry Identity

NPI1558838896
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY CANNONCredential: NP
Location Address251 E COTTONWOOD LNCasa Grande, AZ 85122-2511
Mailing Address251 E Cottonwood LnCasa Grande, AZ 85122-2511 · (520) 840-1483
Phone(520) 413-8053
Sole ProprietorNo
Enumeration DateOctober 24, 2018
Last NPPES UpdateOctober 21, 20265 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1558838896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AZ · 223210✔ Licensed in AZ · 115092
251 E COTTONWOOD LN, Casa Grande, AZ 85122
Open in Google Maps ↗

Secondary Practice Location 1

Location 1177 W Cottonwood Ln Ste 6Casa Grande, AZ 85122-2552 · Phone (520) 233-5905

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kimberly Cannon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sun Life Family Health Center, Inc.
2.5 mi
Federally Qualified Health Center (FQHC)
865 N ARIZOLA RD
Casa Grande, AZ 85122
  • Reassigned Medicare billing, Arizona enrollment
  • 80 clinicians in this Medicare group
NPI 1891913166 (520) 836-3446
Mulberry Medical LLC
34 mi
Family Medicine
5801 S MCCLINTOCK DR STE 104
Tempe, AZ 85283
  • Reassigned Medicare billing, Arizona enrollment
  • 42 clinicians in this Medicare group
NPI 1831980986 (623) 220-2601
Nextcare Arizona I Jv LLC
39 mi
Urgent Care
914 N SCOTTSDALE RD STE 104
Tempe, AZ 85288
  • Reassigned Medicare billing, Arizona enrollment
  • 240 clinicians in this Medicare group
NPI 1114798071 (480) 924-8382
Nextcare Arizona LLC
39 mi
Urgent Care
914 N SCOTTSDALE RD STE 104
Tempe, AZ 85288
  • Reassigned Medicare billing, Arizona enrollment
  • 367 clinicians in this Medicare group
NPI 1043371826 (480) 924-8382
Walker Health Care PLLC
52 mi
Adult Health
11225 N 28TH DR STE F114
Phoenix, AZ 85029
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1316879760 (480) 210-4353

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 7

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.
171 services128 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.
95 services83 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
33 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
19 services19 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.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85122 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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
1 supplier12 claims24 services$4.30 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

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

MS. MICHELLE SUE WEARING FNP-C
Nurse Practitioner (Family)
251 E COTTONWOOD LN
CASA GRANDE, AZ 85122
Pinal County (520) 252-4450

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 Kimberly Cannon's NPI number?

The NPI number for Kimberly Cannon is 1558838896. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Kimberly Cannon located?

Kimberly Cannon practices at 251 E Cottonwood Ln, Casa Grande, AZ 85122. The listed phone number is (520) 413-8053.

What is Kimberly Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Cannon enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Cannon reassigns Medicare benefits to 5 organizations: Sun Life Family Health Center, Inc. (Casa Grande, AZ), Mulberry Medical LLC (Tempe, AZ), Nextcare Arizona I Jv LLC (Tempe, AZ), Nextcare Arizona LLC (Tempe, AZ) and Walker Health Care PLLC (Phoenix, AZ). Each 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 Kimberly Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Cannon accept?

Health plans from Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Kimberly 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.

When was this NPI record last updated?

The NPPES record for Kimberly Cannon was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.