LAURA D CANNON (FNP-C) – Primary Care Nurse Practitioner, NPI 1235634221

LAURA D CANNON (FNP-C) is a healthcare provider. based in Portage, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 71007892A (IN). The NPI Number for LAURA D CANNON (FNP-C) is 1235634221

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
LAURA D CANNON (FNP-C)
NPI
1235634221
Phone
(219) 762-3196
Address
6375 U S HWY 6
Enumeration Date
29 March 2018
Last Update Date
16 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2193222273
Graduation Year
2012 (14 years ago)
PAC ID
1153670591
Group Practice PAC ID
4981988771
Professional Enrollment ID
I20180820000193
Address ID
IN463111167DY601XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for LAURA D CANNON (FNP-C)

  • 6375 U S HWY 6

    PORTAGE, IN 463685218

    Phone: (219) 762-3196

    Fax: (219) 763-6438

    Type: Mailing

  • 203 W FRANCISCAN DR

    CROWN POINT, IN 463074802

    Phone: (630) 320-6871

    Fax: (630) 385-0026

    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 $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-09-29 • Largest payer in this snapshot: ABBVIE INC. ($20).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-29

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: 2018-08-20

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
I20180820000193INurse PractitionerINTBD

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 minutes1,982342$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes175144$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16033$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes13164$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes8040$0
View full utilization report →

Insurance plans in this area (ZIP 46368)

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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: 4981988771View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And Rehabilitation, Pain ManagementIN
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationTX
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Hospitalist, Internal MedicineIL

Reviews

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Frequently asked questions

What is the standard ID for LAURA D CANNON (FNP-C) in the U.S.?
In the U.S., LAURA D CANNON (FNP-C) is identified by NPI 1235634221.
Is LAURA D CANNON (FNP-C)'s NPI status active today?
Active status means LAURA D CANNON (FNP-C)'s NPI record is not deactivated in the public file.
What services align with LAURA D CANNON (FNP-C)'s listing?
LAURA D CANNON (FNP-C)'s public classification highlights Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit LAURA D CANNON (FNP-C) in Portage, Indiana?
For routing, start with Portage, Indiana for LAURA D CANNON (FNP-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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