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ALLIE MARIE CANNON PA-C
NPI 1871398891
Physician Assistant in Ogden, UT

Active since February 14, 2025PECOS EnrolledAccepts Medicare Assignment
4403 HARRISON BLVD STE 4410, OGDEN, UT 84403(801) 387-2750 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, May 23, 2025, Feb 14, 2025 (3 updates tracked since 2025).

About Allie Marie Cannon Pa-c NPPES

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

ALLIE MARIE CANNON PA-C (NPI 1871398891) is an individual physician assistant in Ogden, Utah, licensed in Utah (14198438-1206) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ogden, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871398891
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALLIE MARIE CANNONCredential: PA-C
Location Address4403 HARRISON BLVD STE 4410Ogden, UT 84403-3323
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 387-2750
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 14, 2025
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1871398891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 14198438-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4403 HARRISON BLVD STE 4410, Ogden, UT 84403
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Secondary Practice Location 1

Location 13875 Stadium Way Dept 3901Ogden, UT 84408-3901 · Phone (801) 626-7210

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

Allie Marie Cannon Pa-c 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.

PECOS PAC ID6103330345
PECOS Enrollment IDI20250709002318
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 84403 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 5

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

HALEY S. BELT MD
Internal Medicine (Pulmonary Disease)
4403 HARRISON BLVD STE 4410
OGDEN, UT 84403
Weber County (801) 387-6850
KORTNEE SANDRA BRIGHTSHUE
Nurse Practitioner
4403 HARRISON BLVD STE 4410
OGDEN, UT 84403
Weber County (801) 387-6850
STACI ANN WILLIS FNP
Nurse Practitioner
4403 HARRISON BLVD STE 4410
OGDEN, UT 84403
Weber County (801) 387-6850
MORGAN PALOMA CARBAJAL M.D./M.P.H.
Internal Medicine (Pulmonary Disease)
4403 HARRISON BLVD STE 4410
OGDEN, UT 84403
Weber County (801) 387-8290
MEGAN S. PIERCE MD
Internal Medicine (Pulmonary Disease)
4403 HARRISON BLVD STE 4410
OGDEN, UT 84403
Weber County (801) 387-8290

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 Allie Cannon's NPI number?

The NPI number for Allie Cannon is 1871398891. It was assigned to this individual provider in the NPPES registry on February 14, 2025.

Where is Allie Cannon located?

Allie Cannon practices at 4403 Harrison Blvd Ste 4410, Ogden, UT 84403. The listed phone number is (801) 387-2750.

What is Allie Cannon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Allie Cannon enrolled in Medicare?

Yes. Allie 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 Allie Cannon was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.