BERNETTA CANNON FNP-C
NPI 1891480950
Nurse Practitioner - Family in Chicago, IL
About Bernetta Cannon Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERNETTA CANNON FNP-C (NPI 1891480950) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.025522) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
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
Bernetta Cannon Fnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Bernetta Cannon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palos Hills, IL 60465
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Palos Hills, IL 60465
- Reassigned Medicare billing, Illinois enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60628 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60628
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 Bernetta Cannon's NPI number?
The NPI number for Bernetta Cannon is 1891480950. It was assigned to this individual provider in the NPPES registry on April 5, 2023.
Where is Bernetta Cannon located?
Bernetta Cannon practices at 237 W 95th St, Chicago, IL 60628. The listed phone number is (773) 468-2110.
What is Bernetta Cannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Bernetta Cannon enrolled in Medicare?
Yes. Bernetta 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 organizations bill Medicare for Bernetta Cannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bernetta Cannon reassigns Medicare benefits to 2 organizations: Palos Medical Center PLLC (Palos Hills, IL) and Palos Urgent Care PLLC (Palos Hills, IL). 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 Bernetta Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bernetta Cannon accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Bernetta 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 Bernetta Cannon was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Bernetta Cannon, FNP-C · NPI 1891480950
Family physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since April 5, 2023.
## Identity
- **NPI:** 1891480950 (Entity type: Individual)
- **Enumerated:** April 5, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.025522 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 237 W 95TH ST, Chicago, IL 60628-1321
- **Phone:** (773) 468-2110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Palos Medical Center PLLC (NPI 1518741792, Palos Hills, IL); Palos Urgent Care PLLC (NPI 1639953342, Palos Hills, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 5, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1891480950) · Data from the CMS NPPES public registry.