JEREMIAH CANNON FNP
NPI 1629518220
Nurse Practitioner - Family in Worland, WY

Q: What is Jeremiah Cannon's NPI number?

The NPI number for Jeremiah Cannon is 1629518220. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Q: What is Jeremiah Cannon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeremiah Cannon was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 01, 2017PECOS EnrolledAccepts Medicare Assignment

96.6/100

CMS Quality Rating

1125 CHARLES AVE, WORLAND, WY 82401(307) 347-2449(307) 864-5226 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jeremiah Cannon Fnp NPPES

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

JEREMIAH CANNON FNP (NPI 1629518220) is an individual family provider in Worland, Wyoming, licensed in Wyoming (25938.1600) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Hot Springs County Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629518220

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJEREMIAH CANNONCredential: FNP

Location Address1125 CHARLES AVEWorland, WY 82401-4021

Mailing Address1503 Coburn AveWorland, WY 82401-3611 · (303) 981-9215

Phone(307) 347-2449

Fax(307) 864-5226

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 1, 2017

✔ NPI 1629518220 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

License✔ Licensed in WY · 25938.1600

1125 CHARLES AVE, Worland, WY 82401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.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

Jeremiah Cannon Fnp 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 ID7012293079

PECOS Enrollment IDI20170406000976

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.

Hospital Affiliations CMS Care Compare 2

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

Hot Springs County Memorial Hospital

Critical Access Hospitals · Thermopolis, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531304

Location150 East ArapahoeThermopolis, WY 82443 · Hot Springs County

Emergency services

Washakie Medical Center

Critical Access Hospitals · Worland, WY

OwnershipGovernment - Local

CMS Certification Number531306

Location400 South 15th StreetWorland, WY 82401 · Washakie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82401 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

$87.12 typical visit price

range $56.42 – $170.72

Typical copayment $21.78 (range $14.10 – $42.68)

Most-billed visit code 99203

Established Patient

$99.46 typical visit price

range $18.19 – $139.32

Typical copayment $24.86 (range $4.54 – $34.83)

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.

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.

96.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 8

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

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers13 claims13 services$110.47 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers14 claims32 services$44.06 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers11 claims11 services$74.69 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

2 suppliers12 claims12 services$25.07 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers17 claims17 services$21.30 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers24 claims144 services$3.22 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 9

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

RED ROCK FAMILY PRACTICE, INC

Clinic/Center (Rural Health)