JENNIFER LEIGH CANNON FNP
NPI 1750725008
Nurse Practitioner - Family in Johnson City, TN

Q: What is Jennifer Cannon's NPI number?

The NPI number for Jennifer Cannon is 1750725008. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Q: What is Jennifer 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 Jennifer Cannon was last updated on August 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 17, 2013PECOS Enrolled

300 MED TECH PKWY, JOHNSON CITY, TN 37604(423) 282-1480(423) 928-1353 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jennifer Leigh Cannon Fnp NPPES

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

JENNIFER LEIGH CANNON FNP (NPI 1750725008) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (17519) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750725008

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER LEIGH CANNONCredential: FNP

Location Address300 MED TECH PKWYJohnson City, TN 37604-2277

Mailing Address119 Boone Ridge Dr, Ste 201Johnson City, TN 37615-8000 · (423) 743-6135 · Fax (423) 743-0035

Phone(423) 282-1480

Fax(423) 928-1353

Sole ProprietorNo

Enumeration DateApril 17, 2013

Last NPPES UpdateAugust 19, 2016

✔ NPI 1750725008 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 TN · 17519

300 MED TECH PKWY, Johnson City, TN 37604

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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 Leigh Cannon Fnp 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 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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