MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1578997136

MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP) is a healthcare provider. based in Ocala, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials AG-ACNP. They hold a License No. RN 9355976 (FL). The NPI Number for MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP) is 1578997136

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP)
NPI
1578997136
Phone
(352) 629-0137
Address
1801 SE 32ND AVE
Enumeration Date
30 August 2013
Last Update Date
20 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4433839300
Graduation Year
2019 (7 years ago)
PAC ID
1658702212
Group Practice PAC ID
8123420643
Professional Enrollment ID
I20200514001415
Address ID
FL331602165AV2777XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP)

  • 1801 SE 32ND AVE

    OCALA, FL 344715532

    Phone: (352) 629-0137

    Type: Mailing

  • 756 N SUNCOAST BLVD

    CRYSTAL RIVER, FL 344299072

    Phone: (352) 346-3127

    Fax: (352) 581-6226

    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 $141.

Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Organogenesis Inc. ($125).

Total Amount

$141

General + Research + Ownership

Payments

2

Total payment records

General Amount

$141

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organogenesis Inc.$125
Amgen Inc.$16
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: 2020-05-14

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
I20200514001415INurse PractitionerFLTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,596463$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes778549$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes662221$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes252250$0
11042Removal of skin and tissue, 20.0 sq cm or less12161$0
View full utilization report →

Insurance plans in this area (ZIP 34471)

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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: 8123420643View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerIN
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What federal number belongs to MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP)?
The federal identifier for MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP) is NPI 1578997136.
Does this profile mean MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP) is currently active?
Yes — MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP) appears active in the national provider directory.
What kind of provider is MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP)?
The page reflects Acute Care Nurse Practitioner for MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP). Clinical services aligned with this taxonomy classification.
Where is MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP)'s primary listing?
We display Ocala, Florida because that is what the record indicates for MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP).
Is MRS. NATASHA YVONNE JACKSON-CANNON (AG-ACNP) a real provider?
This page reflects official NPPES data for NPI 1578997136. Always confirm identity and privileges with the practice and licensing boards.

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