Annie Jane Xiao Xiao Cannon, PA-C - Medicare Physician Assistant in Park City, UT

Annie Jane Xiao Xiao Cannon, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Park City, Utah. She went to University Of Utah School Of Medicine and graduated in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Rosenberg Cooley Metcalf Lc and her current practice location is 900 Round Valley Dr, Park City, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 655-6600.

Annie Jane Xiao Xiao Cannon is licensed to practice in Utah (license number 14245481-1206) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225737513.

Contact Information

Annie Jane Xiao Xiao Cannon, PA-C
900 Round Valley Dr,
Park City, UT 84060-7552
(435) 655-6600
Not Available

Map and Direction




Provider's Profile

Full NameAnnie Jane Xiao Xiao Cannon
GenderFemale
SpecialityPhysician Assistant
Experience1 Years
Location900 Round Valley Dr, Park City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Annie Jane Xiao Xiao Cannon attended and graduated from University Of Utah School Of Medicine in 2025
  NPI Data:
  • NPI Number: 1225737513
  • Provider Enumeration Date: 02/27/2023
  • Last Update Date: 11/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1153804711
  • Enrollment ID: I20260311003089

Medical Identifiers

Medical identifiers for Annie Jane Xiao Xiao Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225737513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 14245481-1206 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rosenberg Cooley Metcalf Lc004229151037

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Annie Jane Xiao Xiao Cannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Annie Jane Xiao Xiao Cannon, PA-C
2648 E Casto Ln,
Salt Lake City, UT 84117-6303

Ph: (801) 664-6128
Annie Jane Xiao Xiao Cannon, PA-C
900 Round Valley Dr,
Park City, UT 84060-7552

Ph: (435) 655-6600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.