VERONICA LEA CANNON APRN
NPI 1689080384
Nurse Practitioner - Family in Malvern, AR

Active since July 02, 2014PECOS EnrolledAccepts Medicare Assignment
1604 MLK BLVD, MALVERN, AR 72104(501) 732-5400(501) 325-9650 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2023, May 27, 2023 (2 updates tracked since 2023).

About Veronica Lea Cannon Aprn NPPES

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

VERONICA LEA CANNON APRN (NPI 1689080384) is an individual family provider in Malvern, Arkansas, licensed in Arkansas (A004099) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1689080384
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVERONICA LEA CANNONCredential: APRN
Location Address1604 MLK BLVDMalvern, AR 72104
Mailing Address1604 Mlk BlvdMalvern, AR 72104 · (501) 732-5400 · Fax (501) 325-9650
Fax(501) 325-9650
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 2, 2014
Last NPPES UpdateFebruary 29, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
✔ NPI 1689080384 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 AR · A004099
1604 MLK BLVD, Malvern, AR 72104

Other Identifiers 1

Medicaid204425758AR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Veronica Lea Cannon Aprn 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 ID6103044003
PECOS Enrollment IDI20140905000429
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

4

Medicare enrollment records show Veronica Cannon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
1604 MARTIN LUTHER KING BLVD
Malvern, AR 72104
  • Reassigned Medicare billing, Arkansas enrollment
  • 2 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
900 MARTIN LUTHER KING BLVD STE 200
Malvern, AR 72104
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: Healthy Connections Incorporated
  • 58 clinicians in this Medicare group
Clinic/Center
4312 S RETANA AVE
Broken Arrow, OK 74011
  • Reassigned Medicare billing, Arkansas enrollment
  • 2 clinicians in this Medicare group
Clinic/Center
8211 E REGAL PL
Tulsa, OK 74133
  • Reassigned Medicare billing, Arkansas enrollment
  • 5 clinicians in this Medicare group

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

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 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.
28 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72104 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 Veronica Cannon's NPI number?

The NPI number for Veronica Cannon is 1689080384. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Veronica Cannon located?

Veronica Cannon practices at 1604 Mlk Blvd, Malvern, AR 72104. The listed phone number is (501) 732-5400.

What is Veronica Cannon's specialty?

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

Is Veronica Cannon enrolled in Medicare?

Yes. Veronica Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Veronica Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Veronica Cannon reassigns Medicare benefits to 4 organizations: Brick City Health And Wellness Clinic PLLC (Malvern, AR), Healthy Connections Inc (Malvern, AR), Apex Wound Specialists LLC (Broken Arrow, OK) and Apex Wound Management LLC (Tulsa, OK). 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 Veronica Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Veronica Cannon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Veronica 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 Veronica Cannon was last updated on February 29, 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.