Ms Lori Cannon, NP-C in Surprise, AZ - Medicare Nurse Practitioner

Ms Lori Cannon, NP-C is a medicare enrolled "Nurse Practitioner" in Surprise, Arizona. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner - University Physician Specialists Llc and her current practice location is 12665 W Smokey Dr Ste 140, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 219-4040.

Ms Lori Cannon is licensed to practice in Arizona (license number 236251) 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 1174155097.

Contact Information

	Ms Lori Cannon, NP-C
	12665 W Smokey Dr Ste 140, Surprise, AZ 85378-3732
	(623) 219-4040
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Lori Cannon
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	12665 W Smokey Dr Ste 140, Surprise, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Lori Cannon graduated from nursing school in 2019

NPI Data:

NPI Number: 1174155097
Provider Enumeration Date: 02/08/2020
Last Update Date: 07/07/2026

Medicare PECOS Information:

PECOS PAC ID: 6901234962
Enrollment ID: I20200325002205

Medical Identifiers

Medical identifiers for Ms Lori Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174155097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	236251 (Arizona)	Secondary
363L00000X	Nurse Practitioner	236251 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner - University Medical Center Phoenix	Phoenix, AZ	Hospital
Banner Desert Medical Center	Mesa, AZ	Hospital
Banner Baywood Medical Center	Mesa, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner - University Physician Specialists Llc	5991008054	350

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. Ms Lori Cannon allows following entities to bill medicare on her behalf.

Entity Name	Banner - University Physician Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476

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. Ms Lori 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 Address	Practice Location Address
Ms Lori Cannon, NP-C 1701 Highway A1a Ste 300, Vero Beach, FL 32963-2263 Ph: (561) 320-0996	Ms Lori Cannon, NP-C 12665 W Smokey Dr Ste 140, Surprise, AZ 85378-3732 Ph: (623) 219-4040

Reviews and Comments

Nurse Practitioner Nurses in Surprise, AZ

Kimberly Ann Flores, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16329 W. Cactus Rd., Suite 100, Surprise, AZ 85388 Phone: 480-677-8282 Fax: 888-316-1686
Jessica Ann Pech, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14239 W Bell Rd Ste 203, Surprise, AZ 85374 Phone: 623-356-1560
Herlinda C Castro, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 877-809-5092
Zofia Wilk, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13945 W Grand Ave Ste 105, Surprise, AZ 85374 Phone: 623-546-0007
Paige Leykam, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14780 W Mountain View Blvd Ste 211, Surprise, AZ 85374 Phone: 480-428-7678 Fax: 480-569-2708
Marisa Stapleton, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17751 W Villa Chula Ln, Surprise, AZ 85387 Phone: 909-938-9527
Catherine Lisondra Krings, MSN,FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13945 W Grand Ave Ste A-105, Surprise, AZ 85374 Phone: 623-546-0007 Fax: 623-584-6915

Ms Lori Cannon, NP-C - Medicare Nurse Practitioner in Surprise, AZ