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LAKEEMA CANNON FNP-C
NPI 1679290423
Nurse Practitioner - Family in Elizabethtown, KY

Active since October 24, 2022PECOS Enrolled
235 W POPLAR ST APT H, ELIZABETHTOWN, KY 42701(270) 506-9276 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lakeema Cannon Fnp-c NPPES

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

LAKEEMA CANNON FNP-C (NPI 1679290423) is an individual family provider in Elizabethtown, Kentucky, licensed in Kentucky (3018570) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679290423
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAKEEMA CANNONCredential: FNP-C
Location Address235 W POPLAR ST APT HElizabethtown, KY 42701-1542
Mailing Address235 W Poplar St Apt HElizabethtown, KY 42701-1542 · (270) 506-9276
Phone(270) 506-9276
Sole ProprietorNo
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 23, 2022
✔ NPI 1679290423 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 KY · 3018570
235 W POPLAR ST APT H, Elizabethtown, KY 42701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeema Cannon Fnp-c 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 Reassignment

Medicare enrollment records show Lakeema Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
702 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Lakeema Cannon's NPI number?

The NPI number for Lakeema Cannon is 1679290423. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Lakeema Cannon located?

Lakeema Cannon practices at 235 W Poplar St Apt H, Elizabethtown, KY 42701. The listed phone number is (270) 506-9276.

What is Lakeema Cannon's specialty?

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

Is Lakeema Cannon enrolled in Medicare?

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

Which organization bills Medicare for Lakeema Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lakeema Cannon reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The 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 Lakeema Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lakeema Cannon accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Lakeema 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 Lakeema Cannon was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.