MR. NICHOLAS JOHN CANION (NP) – Family Nurse Practitioner, NPI 1629008768

MR. NICHOLAS JOHN CANION (NP) is a healthcare provider. based in San angelo, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 279913 (AZ). The NPI Number for MR. NICHOLAS JOHN CANION (NP) is 1629008768

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. NICHOLAS JOHN CANION (NP)
NPI
1629008768
Phone
(325) 949-9511
Address
3501 Knickerbocker Rd
Enumeration Date
4 July 2006
Last Update Date
4 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9287632273
Graduation Year
2005 (21 years ago)
PAC ID
2769403823
Group Practice PAC ID
2365337300
Professional Enrollment ID
I20221207003175
Address ID
AZ864427924BU2735XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MR. NICHOLAS JOHN CANION (NP)

  • 3501 Knickerbocker Rd

    San Angelo, TX 769047610

    Phone: (325) 949-9511

    Fax: (325) 947-6550

    Type: Location

  • 402, North Bryant Boulevard, Downtown, San Angelo, Tom Green County, Texas, 76903, United States

    SAN ANGELO, TX 769035257

    Phone: (325) 655-5125

    Fax: (325) 655-5340

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20051216000156INurse PractitionerTXTBD
I20200107002814INurse PractitionerNDTBD
I20221207003175INurse PractitionerAZTBD

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
99284Emergency department visit with moderate level of medical decision making185178$0
99285Emergency department visit with high level of medical decision making160152$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only148142$0
99283Emergency department visit with low level of medical decision making2423$0
99291Critical care, first 30-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 76904)

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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: 2365337300View full group profile
NameSpecialtyState
Emergency MedicineAZ
Emergency MedicineOH
Emergency MedicineAZ
Nurse PractitionerNV
Emergency MedicineNV
Emergency MedicineNV
Emergency MedicineCA
Emergency MedicineNV
Emergency MedicinePA
Emergency MedicineNY

Reviews

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Frequently asked questions

How is MR. NICHOLAS JOHN CANION (NP) identified in CMS data?
CMS-hosted NPPES data lists MR. NICHOLAS JOHN CANION (NP) with NPI 1629008768.
Is MR. NICHOLAS JOHN CANION (NP) listed as active for patients and plans?
The listing shows MR. NICHOLAS JOHN CANION (NP) as active in the NPI system.
What taxonomy line describes MR. NICHOLAS JOHN CANION (NP)?
For research purposes, treat MR. NICHOLAS JOHN CANION (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. NICHOLAS JOHN CANION (NP) on a map?
Expect San Angelo, Texas as a primary anchor for MR. NICHOLAS JOHN CANION (NP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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