Mrs Jennifer Cannon, APRN - Medicare Nurse Practitioner in Canton, CT

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Mrs Jennifer Cannon, APRN is a medicare enrolled "Nurse Practitioner - Family" in Canton, Connecticut. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Collaborative Medicine Llc and her current practice location is 166 Albany Tpke Ste 7, Canton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 935-6680.

Mrs Jennifer Cannon is licensed to practice in Connecticut (license number 5902) 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 1528461647.

Contact Information

Mrs Jennifer Cannon, APRN
166 Albany Tpke Ste 7,
Canton, CT 06019-2546
(860) 935-6680
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jennifer Cannon
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location166 Albany Tpke Ste 7, Canton, Connecticut
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:
  • Mrs Jennifer Cannon graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1528461647
  • Provider Enumeration Date: 10/02/2014
  • Last Update Date: 04/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951628916
  • Enrollment ID: I20150401000241

Medical Identifiers

Medical identifiers for Mrs Jennifer Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528461647NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5902 (Connecticut)Secondary
363LF0000XNurse Practitioner - Family 005902 (Connecticut)Secondary
363LF0000XNurse Practitioner - Family 5902 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Collaborative Medicine Llc16587426972

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. Mrs Jennifer Cannon allows following entities to bill medicare on her behalf.
Entity NameThe Hospital of Central Connecticut at New Britain General and Bradley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063461481
PECOS PAC ID: 6507776564
Enrollment ID: O20040115000497
Entity NameCollaborative Medicine LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063137511
PECOS PAC ID: 1658742697
Enrollment ID: O20230130001289

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. Mrs Jennifer 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
Mrs Jennifer Cannon, APRN
166 Albany Tpke Ste 7,
Canton, CT 06019-2546

Ph: (860) 935-6680		Mrs Jennifer Cannon, APRN
166 Albany Tpke Ste 7,
Canton, CT 06019-2546

Ph: (860) 935-6680

Reviews and Comments


Nurse Practitioner Nurses in Canton, CT

Trisha Dibiase, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 320 Albany Tpke, Canton, CT 06019
Phone: 860-385-3751    Fax: 860-371-3105
Christine Biolo,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 117 Albany Tpke, Canton, CT 06019
Phone: 860-658-3444    
Melissa Wooldridge Breton, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 117 Albany Tpke, Canton, CT 06019
Phone: 860-658-8750    Fax: 860-658-8769
Jonida A Gjika, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Albany Tpke Ste 209, Canton, CT 06019
Phone: 860-714-0187    
Ms. Sandra Jean Kissel, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 126 Dowd Ave, Canton, CT 06019
Phone: 860-693-8809    Fax: 860-693-0141
Jaimie M Machado, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 166 Albany Tpke Ste 6, Canton, CT 06019
Phone: 860-831-4151    Fax: 860-413-0848

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.