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AMANDA GRAVES CANNON FNP
NPI 1760968804
Nurse Practitioner - Family in Vineyard, UT

Active since July 12, 2018PECOS Enrolled
667 E 500 N STE 200, VINEYARD, UT 84059(801) 669-5758(801) 216-8357 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2024, Nov 12, 2020, May 7, 2020 and 2 more (5 updates tracked since 2018).

About Amanda Graves Cannon Fnp NPPES

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

AMANDA GRAVES CANNON FNP (NPI 1760968804) is an individual family provider in Vineyard, Utah, licensed in Utah (9111041-4405) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orem.

NPPES Registry Identity

NPI1760968804
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA GRAVES CANNONCredential: FNP
Location Address667 E 500 N STE 200Vineyard, UT 84059-6004
Mailing Address667 E 500 N Ste 200Vineyard, UT 84059-6004 · (801) 669-5758 · Fax (801) 216-8357
Phone(801) 669-5758
Fax(801) 216-8357
Sole ProprietorYes
Enumeration DateJuly 12, 2018
Last NPPES UpdateNovember 15, 20245 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1760968804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 9111041-4405
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 911041 (UT)
667 E 500 N STE 200, Vineyard, UT 84059
Open in Google Maps ↗

Secondary Practice Location 1

Location 1700 W 800 N Ste 200Orem, UT 84057-6316 · Phone (016) 695-7588 · Fax (801) 216-8357

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare 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)

Amanda Graves 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 84059 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 3

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

CAMI COPIER MARTIN APRN
Nurse Practitioner (Women's Health)
667 E 500 N STE 200
VINEYARD, UT 84059
Utah County (801) 669-5758
DR. JOHN DOUGLAS MCCARTER M.D.
Obstetrics & Gynecology
667 E 500 N STE 200
VINEYARD, UT 84059
Utah County (801) 669-5758
DR. KORY A. HARWARD DO
Obstetrics & Gynecology
667 E 500 N STE 200
VINEYARD, UT 84059
Utah County (801) 669-5758

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 Amanda Cannon's NPI number?

The NPI number for Amanda Cannon is 1760968804. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Amanda Cannon located?

Amanda Cannon practices at 667 E 500 N Ste 200, Vineyard, UT 84059. The listed phone number is (801) 669-5758.

What is Amanda Cannon's specialty?

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

Is Amanda Cannon enrolled in Medicare?

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

What insurance does Amanda Cannon accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Amanda 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 Amanda Cannon was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.