MRS. BLAIR BOEVING CANNON CRNA
NPI 1780954511
Nurse Anesthetist, Certified Registered in Memphis, TN
About Mrs. Blair Boeving Cannon Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BLAIR BOEVING CANNON CRNA (NPI 1780954511) is an individual nurse anesthetist, certified registered in Memphis, Tennessee, licensed in Tennessee (RN0000158063) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Blair Boeving Cannon Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Blair Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Memphis, TN 38119
- Reassigned Medicare billing, Mississippi and Tennessee enrollments
- 82 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEMPHIS, TN 38120
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 Blair Cannon's NPI number?
The NPI number for Blair Cannon is 1780954511. It was assigned to this individual provider in the NPPES registry on January 10, 2012.
Where is Blair Cannon located?
Blair Cannon practices at 1755 Kirby Pkwy Ste. 330, Memphis, TN 38120. The listed phone number is (901) 725-5846.
What is Blair Cannon's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Blair Cannon enrolled in Medicare?
Yes. Blair 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 Blair Cannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blair Cannon reassigns Medicare benefits to Medical Anesthesia Group, PA (Memphis, TN). 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 Blair Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blair Cannon accept?
Health plans from Cigna Healthcare list Blair 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 Blair Cannon was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Blair Boeving Cannon, CRNA · NPI 1780954511
Nurse Anesthetist, Certified Registered physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since January 10, 2012.
## Identity
- **NPI:** 1780954511 (Entity type: Individual)
- **Enumerated:** January 10, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN0000158063 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1755 KIRBY PKWY, STE. 330, Memphis, TN 38120-8300
- **Phone:** (901) 725-5846 · **Fax:** (901) 726-4827
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Medical Anesthesia Group, PA (NPI 1679527501, Memphis, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2011
## Record status
- **NPPES last updated:** January 10, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1780954511) · Data from the CMS NPPES public registry.