Kimberly Cannon, - Medicare Nurse Practitioner in Casa Grande, AZ

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Kimberly Cannon, is a medicare enrolled "Nurse Practitioner - Family" in Casa Grande, Arizona. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Primary Care Physicians Arizona Llc and her current practice location is 1864 E Florence Blvd Ste 2, Casa Grande, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 381-0320.

Kimberly Cannon is licensed to practice in Arizona (license number 223210) 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 1558838896.

Contact Information

Kimberly Cannon,
1864 E Florence Blvd Ste 2,
Casa Grande, AZ 85122-5504
(520) 381-0320
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Cannon
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location1864 E Florence Blvd Ste 2, Casa Grande, Arizona
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:
  • Kimberly Cannon graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1558838896
  • Provider Enumeration Date: 10/24/2018
  • Last Update Date: 02/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7315280781
  • Enrollment ID: I20190528002637

Medical Identifiers

Medical identifiers for Kimberly Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558838896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 223210 (Arizona)Primary
363LF0000XNurse Practitioner - Family 115092 (Arizona)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Primary Care Physicians Arizona Llc6406020155209

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Cannon allows following entities to bill medicare on her behalf.
Entity NamePhoenician Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891895637
PECOS PAC ID: 0547169708
Enrollment ID: O20040107000237
Entity NameSun Life Family Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891913166
PECOS PAC ID: 9335032275
Enrollment ID: O20040205000085
Entity NameNextcare Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043371826
PECOS PAC ID: 9537161260
Enrollment ID: O20070209000357
Entity NameBanner Primary Care Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417238908
PECOS PAC ID: 6406020155
Enrollment ID: O20111115000898
Entity NameNextcare Arizona I Jv Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114798071
PECOS PAC ID: 7416393194
Enrollment ID: O20240316000136

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. Kimberly 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
Kimberly Cannon,
Po Box 10097,
Casa Grande, AZ 85130-0020

Ph: (520) 836-3446		Kimberly Cannon,
1864 E Florence Blvd Ste 2,
Casa Grande, AZ 85122-5504

Ph: (520) 381-0320

Reviews and Comments


Nurse Practitioner Nurses in Casa Grande, AZ

Mrs. Tiffany Nicole Valdez, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1811 E Mcmurray Blvd, Casa Grande, AZ 85122
Phone: 520-374-6530    
Mrs. Krista Marie Nielsen, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222
Phone: 520-316-0688    
Essie Harrell, FNP BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122
Phone: 520-836-3446    Fax: 520-836-8807
Kristin Marie Grammatico, CRNA
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Florence Blvd, Casa Grande, AZ 85122
Phone: 520-381-6150    
Mrs. Carolyn Beth Schooley, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122
Phone: 520-836-5538    Fax: 844-772-0049
Jennifer Ann Nies, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1653 E Mcmurray Blvd Ste 132, Casa Grande, AZ 85122
Phone: 520-876-0478    
Seth Thomas Six, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 560 N Camino Mercado Ste 7, Casa Grande, AZ 85122
Phone: 520-836-5538    Fax: 844-772-0049

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.