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DAVID CANNON FNP-C
NPI 1811551369
Nurse Practitioner - Family in Allen Park, MI

Active since April 30, 2019PECOS Enrolled
14825 SOUTHFIELD RD, ALLEN PARK, MI 48101(313) 383-7071 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Cannon Fnp-c NPPES

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

DAVID CANNON FNP-C (NPI 1811551369) is an individual family provider in Allen Park, Michigan, licensed in Michigan (4704315594) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811551369
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDAVID CANNONCredential: FNP-C
Location Address14825 SOUTHFIELD RDAllen Park, MI 48101-2642
Mailing Address133 E 7th StMonroe, MI 48161-1307 · (734) 731-2248
Phone(313) 383-7071
Sole ProprietorNo
Enumeration DateApril 30, 2019
✔ NPI 1811551369 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 MI · 4704315594
14825 SOUTHFIELD RD, Allen Park, MI 48101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Cannon Fnp-c 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.

Medicare Billing Reassignments

2

Medicare enrollment records show David Cannon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ghassan A Atto MD PLLC
2.7 mi
Family Medicine
11275 ALLEN RD
Southgate, MI 48195
  • Reassigned Medicare billing, Michigan enrollment
  • 18 clinicians in this Medicare group
NPI 1932457546 (313) 383-7071
Promedica Monroe Physicians
45 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Michigan enrollment
  • 77 clinicians in this Medicare group
NPI 1194078055 (844) 373-0871

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48101 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 8

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

PERSONAL CARE MEDICINE ASSOCIATES, PLC
Internal Medicine
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (734) 307-8270
ELIAS G GENNAOUI M.D. PC
Specialist
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 386-3930
NADER H BAZZI DO
Family Medicine
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 383-7071
ELIAS G GENNAOUI MD
Obstetrics & Gynecology
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 386-3930
MAATH ALANI MD
Internal Medicine
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 383-7071
SARA K MUNRO
Nurse Practitioner (Family)
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 383-7071
ZACHARY APPLEBERG
Physician Assistant
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 383-7071
GIDEON NGUNU NJANKWI
Nurse Practitioner (Gerontology)
14825 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 383-7071

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 David Cannon's NPI number?

The NPI number for David Cannon is 1811551369. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is David Cannon located?

David Cannon practices at 14825 Southfield Rd, Allen Park, MI 48101. The listed phone number is (313) 383-7071.

What is David Cannon's specialty?

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

Is David Cannon enrolled in Medicare?

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

Which organizations bill Medicare for David Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Cannon reassigns Medicare benefits to 2 organizations: Ghassan A Atto MD PLLC (Southgate, MI) and Promedica Monroe Physicians (Toledo, OH). 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 David Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Cannon accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and Priority Health list David 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 David Cannon was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.