DR. RUBY ANN CANNON DNP
NPI 1659113603
Nurse Practitioner - Family in Immokalee, FL

Q: What is Ruby Cannon's NPI number?

The NPI number for Ruby Cannon is 1659113603. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Q: What is Ruby 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 Ruby Cannon was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 11, 2024PECOS Enrolled

1454 MADISON AVE W, IMMOKALEE, FL 34142(239) 658-3000 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Dr. Ruby Ann Cannon Dnp NPPES

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

DR. RUBY ANN CANNON DNP (NPI 1659113603) is an individual family provider in Immokalee, Florida, licensed in Florida (APRN11026502) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2019).

NPPES Registry Identity

NPI1659113603

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. RUBY ANN CANNONCredential: DNP

Location Address1454 MADISON AVE WImmokalee, FL 34142-2200

Mailing Address1454 Madison Ave WImmokalee, FL 34142-2200

Phone(239) 658-3000

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2019

Enumeration DateJune 11, 2024

NPPES CertifiedJune 11, 2024

✔ NPI 1659113603 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 FL · APRN11026502

1454 MADISON AVE W, Immokalee, FL 34142

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Dr. Ruby Ann Cannon Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173059987

PECOS Enrollment IDI20241203004343

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34142 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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