DR. JENNIFER ANNE CANNON D.O.
NPI 1861831711
Psychiatry & Neurology - Psychiatry in Santa Rosa, CA
About Dr. Jennifer Anne Cannon D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENNIFER ANNE CANNON D.O. (NPI 1861831711) is an individual psychiatry provider in Santa Rosa, California, licensed in California (16236) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jennifer Anne Cannon D.o. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
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 Jennifer Cannon's NPI number?
The NPI number for Jennifer Cannon is 1861831711. It was assigned to this individual provider in the NPPES registry on June 24, 2013. The provider is also known as Ms. Jennifer Anne Dyck.
Where is Jennifer Cannon located?
Jennifer Cannon practices at 3554 Round Barn Blvd, Santa Rosa, CA 95403. The listed phone number is (707) 571-3778.
What is Jennifer Cannon's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Jennifer Cannon enrolled in Medicare?
Yes. Jennifer 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.
When was this NPI record last updated?
The NPPES record for Jennifer Cannon was last updated on February 11, 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.
# Dr. Jennifer Anne Cannon, D.O. · NPI 1861831711
Psychiatry physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since June 24, 2013.
## Identity
- **NPI:** 1861831711 (Entity type: Individual)
- **Enumerated:** June 24, 2013
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 16236 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3554 ROUND BARN BLVD, Santa Rosa, CA 95403-0929
- **Phone:** (707) 571-3778
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Kansas City University Of Med & Biosciences, College Of Osteo Med, class of 2013
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1861831711) · Data from the CMS NPPES public registry.