MRS. JAIMIE SUZANNE CANNON MSN, APRN, FNP-C
NPI 1902297880
Nurse Practitioner - Family in Benton, MO
About Mrs. Jaimie Suzanne Cannon Msn, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JAIMIE SUZANNE CANNON MSN, APRN, FNP-C (NPI 1902297880) is an individual family provider in Benton, Missouri, licensed in Missouri (2015004268) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.
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 (PECOS)
Mrs. Jaimie Suzanne Cannon Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaimie Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cape Girardeau, MO 63701
- Reassigned Medicare billing, Missouri enrollment
- 470 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 63736 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BENTON, MO 63736
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 Jaimie Cannon's NPI number?
The NPI number for Jaimie Cannon is 1902297880. It was assigned to this individual provider in the NPPES registry on February 12, 2015.
Where is Jaimie Cannon located?
Jaimie Cannon practices at 6468 State Highway 77, Benton, MO 63736. The listed phone number is (573) 545-3565.
What is Jaimie Cannon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaimie Cannon enrolled in Medicare?
Yes. Jaimie Cannon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaimie Cannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaimie Cannon reassigns Medicare benefits to Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO). The 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 Jaimie Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaimie Cannon accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Jaimie 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 Jaimie Cannon was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Jaimie Suzanne Cannon, MSN, APRN, FNP-C · NPI 1902297880
Family physician in Benton, Missouri. Individual provider, active in the CMS NPPES registry since February 12, 2015.
## Identity
- **NPI:** 1902297880 (Entity type: Individual)
- **Enumerated:** February 12, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2015004268 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 6468 STATE HIGHWAY 77, Benton, MO 63736-8237
- **Phone:** (573) 545-3565 · **Fax:** (573) 545-3491
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southeast Missouri Hospital Physicians, LLC (NPI 1558311522, Cape Girardeau, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1902297880) · Data from the CMS NPPES public registry.