Mrs Kelly Cannon, APRN, FNP-BC - Medicare Nurse Practitioner in Fort Pierce, FL

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Mrs Kelly Cannon, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner" in Fort Pierce, Florida. Her current practice location is 1700 S 23rd St, Fort Pierce, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 461-4000.

Mrs Kelly Cannon is licensed to practice in Florida (license number APRN11005031) 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 1184270209.

Contact Information

Mrs Kelly Cannon, APRN, FNP-BC
1700 S 23rd St,
Fort Pierce, FL 34950-4803
(772) 461-4000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kelly Cannon
GenderFemale
SpecialityNurse Practitioner
Location1700 S 23rd St, Fort Pierce, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184270209
  • Provider Enumeration Date: 08/14/2019
  • Last Update Date: 10/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335576255
  • Enrollment ID: I20200305000234

Medical Identifiers

Medical identifiers for Mrs Kelly Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184270209NPI-NPPES
1184270209OtherFLMEDICARE MEDICAID AND OTHER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11005031 (Florida)Primary
163WE0003XRegistered Nurse - Emergency RN9312491 (Florida)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. Mrs Kelly Cannon allows following entities to bill medicare on her behalf.
Entity NameParagon Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20041207001148
Entity NameMd Now Medical Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033195474
PECOS PAC ID: 3971554825
Enrollment ID: O20050208000625
Entity NameMichele F Libman Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255410288
PECOS PAC ID: 3173522760
Enrollment ID: O20061208000181
Entity NameJupiter Medical Center Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396992475
PECOS PAC ID: 4284797069
Enrollment ID: O20090106000637
Entity NameFl-i Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750655106
PECOS PAC ID: 9133381809
Enrollment ID: O20120426000191
Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881

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 Kelly 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 Kelly Cannon, APRN, FNP-BC
210 Jupiter Lakes Blvd Ste 4105,
Jupiter, FL 33458-7190

Ph: (561) 743-9938		Mrs Kelly Cannon, APRN, FNP-BC
1700 S 23rd St,
Fort Pierce, FL 34950-4803

Ph: (772) 461-4000

Reviews and Comments


Nurse Practitioner Nurses in Fort Pierce, FL

Ms. Kelli Kraaz, ARNP- FNP
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Practice Location: 3307 N Indian River Dr, Fort Pierce, FL 34946
Phone: 772-528-5991    
Arielle Tango, FNP-C
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Practice Location: 2504 Acorn St Ste A, Fort Pierce, FL 34947
Phone: 772-837-7800    Fax: 772-837-7801
Mrs. Denise Angele Joseph, A.R.N.P.
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Practice Location: 2401 Frist Blvd, Suite 3, Fort Pierce, FL 34950
Phone: 772-429-3400    Fax: 772-429-3410
Ms. Nancy Lee Harris, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 5600 N Us Highway 1 # Le214, Fort Pierce, FL 34946
Phone: 772-242-2420    
Tammy Mae Holmes, ARNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1423 S Us Highway 1, Fort Pierce, FL 34950
Phone: 772-466-6855    Fax: 772-464-6983
Natalie Gordon, ARNP
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Medicare: Medicare Enrolled
Practice Location: 2401 Frist Blvd Ste 1, Fort Pierce, FL 34950
Phone: 772-464-0033    
Christine Palmer Monday, NNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1700 S 23rd St, Fort Pierce, FL 34950
Phone: 772-461-4000    

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.