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

JENNIFER CANNIZZARO CRNP
NPI 1659752889
Nurse Practitioner - Family in Austin, TX

Q: What is Jennifer Cannizzaro's NPI number?

The NPI number for Jennifer Cannizzaro is 1659752889. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Q: What is Jennifer Cannizzaro's specialty?

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

Active since June 12, 2015PECOS Enrolled

2021 GUADALUPE ST STE 260, AUSTIN, TX 78705(346) 372-7216 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 17, 2026, Jul 3, 2025, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

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About Jennifer Cannizzaro Crnp NPPES

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

JENNIFER CANNIZZARO CRNP (NPI 1659752889) is an individual family provider in Austin, Texas, licensed in Pennsylvania (SP015076) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659752889

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER CANNIZZAROCredential: CRNP

Location Address2021 GUADALUPE ST STE 260Austin, TX 78705-5654

Mailing Address2021 Guadalupe St Ste 260Austin, TX 78705-5654 · (346) 372-7216

Phone(346) 372-7216

Sole ProprietorNo

Enumeration DateJune 12, 2015

Last NPPES UpdateAugust 17, 20264 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1659752889 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 PA · SP015076✔ Licensed in TX · 1139956

2021 GUADALUPE ST STE 260, Austin, TX 78705

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Secondary Practice Locations 2

Location 1141 E Palace Ave Ste 101Santa Fe, NM 87501-2041 · Phone (657) 500-0634

Location 23295 W Elder St Ste 209Boise, ID 83705-4772 · Phone (657) 500-8370

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, Providence Health Plan 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 (PECOS)

Jennifer Cannizzaro Crnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

QUANESHA BRABHAM

Social Worker (Clinical)