STELLA CANNON
NPI 1760126080
Nurse Practitioner - Family in Lake Mary, FL

Active since April 22, 2022PECOS EnrolledAccepts Medicare Assignment
3300 W LAKE MARY BLVD, LAKE MARY, FL 32746(407) 321-7111 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stella Cannon NPPES

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

STELLA CANNON (NPI 1760126080) is an individual family provider in Lake Mary, Florida, licensed in Florida (APRN11011184) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760126080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTELLA CANNON
Location Address3300 W LAKE MARY BLVDLake Mary, FL 32746-3570
Mailing Address3300 W Lake Mary BlvdLake Mary, FL 32746-3570 · (407) 321-7111
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 22, 2022
NPPES CertifiedApril 22, 2022
✔ NPI 1760126080 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 · APRN11011184
3300 W LAKE MARY BLVD, Lake Mary, FL 32746

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

Stella Cannon 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 ID5092228858
PECOS Enrollment IDI20250703001283
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 Stella Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
4425 W. 1ST STREET
Sanford, FL 32771
  • Reassigned Medicare billing, Florida enrollment
  • 112 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32746 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Urgent Care)
3300 W LAKE MARY BLVD, SUITE 220
LAKE MARY, FL 32746
Dentist (General Practice)
3300 W LAKE MARY BLVD, SUITE 250
LAKE MARY, FL 32746
Family Medicine
3300 W LAKE MARY BLVD, SUITE 220
LAKE MARY, FL 32746
Plastic Surgery
3300 W LAKE MARY BLVD
LAKE MARY, FL 32746
Plastic Surgery
3300 W LAKE MARY BLVD, #220
LAKE MARY, FL 32746
Clinic/Center (Multi-Specialty)
3300 W LAKE MARY BLVD
LAKE MARY, FL 32746
Acupuncturist
3300 W LAKE MARY BLVD, SUITE 330
LAKE MARY, FL 32746
Specialist
3300 W LAKE MARY BLVD, SUITE 220
LAKE MARY, FL 32746

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 Stella Cannon's NPI number?

The NPI number for Stella Cannon is 1760126080. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Stella Cannon located?

Stella Cannon practices at 3300 W Lake Mary Blvd, Lake Mary, FL 32746. The listed phone number is (407) 321-7111.

What is Stella Cannon's specialty?

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

Is Stella Cannon enrolled in Medicare?

Yes. Stella 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 organization bills Medicare for Stella Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stella Cannon reassigns Medicare benefits to Adventist Health System/Sunbelt, Inc. (Sanford, FL). 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 Stella Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Stella Cannon affiliated with any hospitals?

According to CMS data, Stella Cannon is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Stella Cannon was last updated on April 22, 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.