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

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Kimberly Cannon, NP is a medicare enrolled "Nurse Practitioner - Family" in Casa Grande, Arizona. Her current practice location is 2033 N Pinal Ave, Casa Grande, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 840-1483.

Kimberly Cannon is licensed to practice in Arizona (license number 223210) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558838896.

Contact Information

Kimberly Cannon, NP
2033 N Pinal Ave,
Casa Grande, AZ 85122-1412
(520) 840-1483
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Cannon
GenderFemale
SpecialityNurse Practitioner - Family
Location2033 N Pinal Ave, Casa Grande, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558838896
  • Provider Enumeration Date: 10/24/2018
  • Last Update Date: 04/15/2026
  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

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, NP
2033 N Pinal Ave,
Casa Grande, AZ 85122-1412

Ph: (520) 840-1483		Kimberly Cannon, NP
2033 N Pinal Ave,
Casa Grande, AZ 85122-1412

Ph: (520) 840-1483

Reviews and Comments


Nurse Practitioner Nurses in Casa Grande, AZ

Samantha Jo Leos, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2730 N Trekell Rd, Casa Grande, AZ 85122
Phone: 520-836-8500    
Mrs. Tiffany Nicole Valdez, FNP-C
Nurse Practitioner
Medicare: May Accept 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
Dr. Sean Oney, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 865 N Arizola Rd, Casa Grande, AZ 85122
Phone: 623-327-4040    
Mrs. Carolyn Beth Schooley, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
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    

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.