MELANIE SUSAN CANNON (ARNP) – Family Nurse Practitioner, NPI 1174827133
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for MELANIE SUSAN CANNON (ARNP)
PO BOX 37
PROVIDENCE, KY 424500037
Phone: (270) 667-7017
Fax: (270) 667-9065
Type: Mailing
28 CHICK ST STE 100
METROPOLIS, IL 629602467
Phone: (618) 638-1343
Fax: (618) 638-1340
Type: Location
1717 W COWLES ST
FAIRBANKS, AK 997015926
Phone: (907) 452-6682
Type: Mailing
607 OLD STEESE HWY STE B307
FAIRBANKS, AK 997013163
Phone: (907) 452-1761
Fax: (844) 635-0016
Type: Mailing
1405 KELLUM ST STE 201
FAIRBANKS, AK 997014189
Phone: (907) 452-1761
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $240.
Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.
Last reported payment date: 2023-05-25 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($125).
Total Amount
$240
General + Research + Ownership
Payments
2
Total payment records
General Amount
$240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $125 |
| ABBVIE INC. | $115 |
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: 2024-04-13
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 |
|---|---|---|---|---|
| I20240413000297 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 264 | 193 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 222 | 185 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 60 | 51 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 40 | 19 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 27 | 27 | $0 |
Insurance plans in this area (ZIP 42450)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Nurse Practitioner | AK | |
| - | TX | |
| Physician Assistant | TX | |
| - | AK | |
| - | ME | |
| Nurse Practitioner | GA | |
| Family Practice, Addiction Medicine, Osteopathic Manipulative Medicine | AK | |
| Physician Assistant | AK | |
| - | NY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.