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MRS. JAIMIE SUZANNE CANNON MSN, APRN, FNP-C
NPI 1902297880
Nurse Practitioner - Family in Benton, MO

Active since February 12, 2015PECOS Enrolled
63.63/100
CMS Quality Rating
6468 STATE HIGHWAY 77, BENTON, MO 63736(573) 545-3565(573) 545-3491 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1902297880
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JAIMIE SUZANNE CANNONCredential: MSN, APRN, FNP-C
Location Address6468 STATE HIGHWAY 77Benton, MO 63736-8237
Mailing Address6468 State Highway 77Benton, MO 63736-8237 · (573) 545-3565 · Fax (573) 545-3491
Phone(573) 545-3565
Fax(573) 545-3491
Sole ProprietorNo
Enumeration DateFebruary 12, 2015
✔ NPI 1902297880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2015004268
6468 STATE HIGHWAY 77, Benton, MO 63736
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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).

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 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.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

63.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.19
Promoting Interoperability100
Improvement Activities40
Cost58.59

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.

AMBER NICOLE THORNE MSN, APRN, FNP-BC
Nurse Practitioner
6468 STATE HIGHWAY 77
BENTON, MO 63736
Scott County (573) 545-3700
MISSOURI DELTA MEDICAL CENTER
Pharmacy (Community/Retail Pharmacy)
6468 STATE HIGHWAY 77
BENTON, MO 63736
Scott County (573) 545-5155
MISSOURI DELTA MEDICAL CENTER
Clinic/Center (Rural Health)
6468 STATE HIGHWAY 77
BENTON, MO 63736
Scott County (573) 545-3700

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.

What insurance does Jaimie Cannon accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare 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.