VERONICA LEA CANNON (APRN) – Family Nurse Practitioner, NPI 1689080384

VERONICA LEA CANNON (APRN) is a healthcare provider. based in Malvern, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A004099 (AR). The NPI Number for VERONICA LEA CANNON (APRN) is 1689080384

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
VERONICA LEA CANNON (APRN)
NPI
1689080384
Phone
(501) 732-5400
Address
1604 MLK BLVD
Enumeration Date
2 July 2014
Last Update Date
29 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5017325400
Graduation Year
2014 (12 years ago)
PAC ID
6103044003
Group Practice PAC ID
9638522451
Professional Enrollment ID
I20140905000429
Address ID
AR721042006MA1604XBLVD500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for VERONICA LEA CANNON (APRN)

  • 1604 MLK BLVD

    MALVERN, AR 72104

    Phone: (501) 732-5400

    Fax: (501) 325-9650

    Type: Location

  • PO BOX 497

    AUGUSTA, AR 720060497

    Phone: (870) 347-2534

    Fax: (870) 347-3492

    Type: Mailing

  • 805 THIRD ST

    HORSESHOE BEND, AR 725123736

    Phone: (870) 670-4861

    Fax: (870) 670-4751

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($48).

Total Amount

$182

General + Research + Ownership

Payments

9

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140905000429INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638522451View full group profile
NameSpecialtyState
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I verify VERONICA LEA CANNON (APRN) with an NPI only?
You can start verification with NPI 1689080384 for VERONICA LEA CANNON (APRN), then check state licensing separately.
Does the file indicate VERONICA LEA CANNON (APRN) is practicing under active NPI?
Directory data currently reports VERONICA LEA CANNON (APRN) as active.
What is VERONICA LEA CANNON (APRN)'s specialty?
The listing groups VERONICA LEA CANNON (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does VERONICA LEA CANNON (APRN) serve?
VERONICA LEA CANNON (APRN)'s listing highlights Malvern, Arkansas; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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