MRS. JENNIFER CANNON (APRN) – Family Nurse Practitioner, NPI 1528461647

MRS. JENNIFER CANNON (APRN) is a healthcare provider. based in Canton, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 5902 (CT). The NPI Number for MRS. JENNIFER CANNON (APRN) is 1528461647

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER CANNON (APRN)
NPI
1528461647
Phone
(860) 935-6680
Address
166 ALBANY TPKE STE 7
Enumeration Date
2 October 2014
Last Update Date
18 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8609356680
Graduation Year
2014 (12 years ago)
PAC ID
1951628916
Professional Enrollment ID
I20150401000241
Address ID
CT060192546CA166XXTPKE302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for MRS. JENNIFER CANNON (APRN)

  • 166 ALBANY TPKE STE 7

    CANTON, CT 060192546

    Phone: (860) 935-6680

    Type: Location

  • 100 GRAND ST

    NEW BRITAIN, CT 060522016

    Phone: (860) 224-5011

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 91 Open Payments records for all available years, with a total value of $1,031.

Total Amount is formed as General ($1,031) + Research ($0) + Ownership ($0) = $1,031.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($834).

Total Amount

$1,031

General + Research + Ownership

Payments

91

Total payment records

General Amount

$1,031

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2015-04-01

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
I20150401000241INurse PractitionerCTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3813$0
View full utilization report →

Insurance plans in this area (ZIP 06019)

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Reviews

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Frequently asked questions

Does MRS. JENNIFER CANNON (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. JENNIFER CANNON (APRN) uses 1528461647.
Is MRS. JENNIFER CANNON (APRN) still practicing?
MRS. JENNIFER CANNON (APRN) is currently listed as active in the public NPI registry.
What is MRS. JENNIFER CANNON (APRN) best known for clinically?
Directory data describes MRS. JENNIFER CANNON (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. JENNIFER CANNON (APRN)?
MRS. JENNIFER CANNON (APRN)'s geographic hint is Canton, Connecticut in our summary view.
Why does MRS. JENNIFER CANNON (APRN) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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