MS. ALEXANDRA T CANNON APRN, CNP
NPI 1831701010
Nurse Practitioner in Chicago, IL

Q: What is Alexandra Cannon's NPI number?

The NPI number for Alexandra Cannon is 1831701010. It was assigned to this individual provider in the NPPES registry on August 19, 2020. The provider is also known as Ms. Alexandra T Klonis Aprn, Cnp.

Q: What is Alexandra Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Cannon was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 19, 2020PECOS Enrolled

94.1/100

CMS Quality Rating

675 N SAINT CLAIR ST FL 17, CHICAGO, IL 60611(312) 695-3800(312) 695-3644 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2024, Nov 18, 2020, Aug 19, 2020 (3 updates tracked since 2020).

On this page

About Ms. Alexandra T Cannon Aprn, Cnp NPPES

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

MS. ALEXANDRA T CANNON APRN, CNP (NPI 1831701010) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209022056) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831701010

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. ALEXANDRA T CANNONCredential: APRN, CNP

Location Address675 N SAINT CLAIR ST FL 17Chicago, IL 60611-5975

Mailing Address675 N Saint Clair St Fl 17Chicago, IL 60611-5975 · (312) 695-3800 · Fax (312) 695-3644

Phone(312) 695-3800

Fax(312) 695-3644

Sole ProprietorNo

Enumeration DateAugust 19, 2020

Last NPPES UpdateApril 19, 20243 updates tracked since enumeration

NPPES CertifiedApril 19, 2024

✔ NPI 1831701010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209022056

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

675 N SAINT CLAIR ST FL 17, Chicago, IL 60611

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Other Names 1

Former Name (1)Ms. Alexandra T Klonis Aprn, Cnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Alexandra T Cannon Aprn, Cnp 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 60611 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers13 claims554 services$0.32 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier19 claims3,360 services$0.19 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier15 claims15 services$18.95 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers13 claims15 services$11.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. JUSTIN JOSEPH YOUNG PA-C

Physician Assistant