KENYA CANNONIER (FNP-BC, PMHNP-BC) – Family Nurse Practitioner, NPI 1043607658

KENYA CANNONIER (FNP-BC, PMHNP-BC) is a healthcare provider. based in San francisco, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC, PMHNP-BC. They hold a License No. 26NJ00564600 (NJ). The NPI Number for KENYA CANNONIER (FNP-BC, PMHNP-BC) is 1043607658

Main info

Female
Sole Proprietor
12 Years Of Experience
Name
KENYA CANNONIER (FNP-BC, PMHNP-BC)
NPI
1043607658
Phone
(862) 255-8112
Address
2261 MARKET ST
Enumeration Date
21 April 2015
Last Update Date
29 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6092224922
Graduation Year
2014 (12 years ago)
PAC ID
4385964246
Group Practice PAC ID
6002242690
Professional Enrollment ID
I20160418002024
Address ID
NJ086903415HA2083XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:11State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for KENYA CANNONIER (FNP-BC, PMHNP-BC)

  • 2261 MARKET ST

    SAN FRANCISCO, CA 941141612

    Phone: (862) 255-8112

    Fax: (862) 298-0816

    Type: Location

  • 233 LEHIGH AVE

    NEWARK, NJ 071121854

    Phone: (862) 255-8112

    Type: Mailing

  • 27 HOLSTONE LN

    WILLINGBORO, NJ 080461817

    Phone: (862) 255-8112

    Fax: (862) 298-0816

    Type: Mailing

  • PO BOX 748465

    ATLANTA, GA 303748465

    Phone: (855) 284-7483

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2023-05-12 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($57).

Total Amount

$57

General + Research + Ownership

Payments

2

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-12

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: 2021-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20160418002024INurse PractitionerNJTBD
I20211115000029INurse PractitionerPATBD
I20211115000038INurse PractitionerDETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes24298$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes10672$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 94114)

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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: 6002242690View full group profile
NameSpecialtyState
Marriage And Family TherapistNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Marriage And Family TherapistNJ
Nurse PractitionerNJ
Marriage And Family TherapistNJ
Clinical Social WorkerNJ
Marriage And Family TherapistNJ
Nurse PractitionerNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

Can I cross-check KENYA CANNONIER (FNP-BC, PMHNP-BC) using NPI 1043607658?
NPI 1043607658 belongs to KENYA CANNONIER (FNP-BC, PMHNP-BC); compare other details if you need extra assurance.
Is KENYA CANNONIER (FNP-BC, PMHNP-BC) still an active registrant?
KENYA CANNONIER (FNP-BC, PMHNP-BC) carries an active NPI according to the public dataset.
What area of care is associated with KENYA CANNONIER (FNP-BC, PMHNP-BC)?
KENYA CANNONIER (FNP-BC, PMHNP-BC)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KENYA CANNONIER (FNP-BC, PMHNP-BC) located near San Francisco?
KENYA CANNONIER (FNP-BC, PMHNP-BC) currently maps to San Francisco, California in this extract.
When was this NPI issued?
Enumeration for KENYA CANNONIER (FNP-BC, PMHNP-BC) is noted as April 21, 2015 where the registry provides it.

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