MRS. KELLY CANNON (APRN, FNP-BC) – Nurse Practitioner, NPI 1184270209
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MRS. KELLY CANNON (APRN, FNP-BC)
1700 S 23RD ST
FORT PIERCE, FL 349504803
Phone: (772) 461-4000
Type: Location
Jupiter Lakes Boulevard, Jupiter, Palm Beach County, Florida, 33477, United States
JUPITER, FL 334587190
Phone: (561) 743-9938
Fax: (561) 575-0801
Type: Mailing
Southeast Federal Highway, Stuart, Martin County, Florida, 34997, United States
STUART, FL 349944535
Phone: (772) 219-9362
Type: Location
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 $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-06-28 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($25).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $25 |
| CSL Behring | $19 |
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: 2020-03-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200305000234 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 63 | 62 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 54 | 51 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 26 | 25 | $0 |
Insurance plans in this area (ZIP 34950)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | FL | |
| Family Practice | AL | |
| - | FL | |
| - | FL | |
| Emergency Medicine | AL | |
| Emergency Medicine | TN | |
| Emergency Medicine | NY | |
| - | PA | |
| - | FL | |
| Emergency Medicine | FL |
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