MRS. MARY MELISSA CANNON (ARNP) – Family Nurse Practitioner, NPI 1174209647

MRS. MARY MELISSA CANNON (ARNP) is a healthcare provider. based in Marion, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. F06231826 (IA). The NPI Number for MRS. MARY MELISSA CANNON (ARNP) is 1174209647

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY MELISSA CANNON (ARNP)
NPI
1174209647
Phone
(319) 538-4428
Address
1269 TRAMORE RD
Enumeration Date
27 June 2023
Last Update Date
27 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3192218444
Graduation Year
2023 (3 years ago)
PAC ID
5092178624
Group Practice PAC ID
2466343363
Professional Enrollment ID
I20230830002718
Address ID
IA524022477CE5264XNEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for MRS. MARY MELISSA CANNON (ARNP)

  • 1269 TRAMORE RD

    MARION, IA 523026106

    Phone: (319) 538-4428

    Type: Mailing

  • 701 10TH ST SE

    CEDAR RAPIDS, IA 524031251

    Phone: (319) 398-6011

    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 $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: PFIZER INC. ($17).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2023-08-30

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
I20230830002718INurse PractitionerIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8382$0
99212Established patient office or other outpatient visit, 10-19 minutes3433$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 52302)

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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: 2466343363View full group profile
NameSpecialtyState
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Family PracticeIA
Nurse PractitionerIA
Family PracticeIA
Nurse PractitionerIA
Family PracticeIA
-IA
Family PracticeIA

Reviews

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Frequently asked questions

Is there an official ID for MRS. MARY MELISSA CANNON (ARNP) in U.S. healthcare records?
The official identifier for MRS. MARY MELISSA CANNON (ARNP) is NPI 1174209647.
Would MRS. MARY MELISSA CANNON (ARNP) appear as active to a payer?
You can treat MRS. MARY MELISSA CANNON (ARNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. MARY MELISSA CANNON (ARNP)?
MRS. MARY MELISSA CANNON (ARNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Iowa is MRS. MARY MELISSA CANNON (ARNP) registered?
Use Marion, Iowa as the headline location for MRS. MARY MELISSA CANNON (ARNP) here.
Does MRS. MARY MELISSA CANNON (ARNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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