STEPHEN JEROME CANNON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1790737294
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX
Provider Addresses for STEPHEN JEROME CANNON (CRNA)
2026 S Jackson St
Jacksonville, TX 757665822
Phone: (903) 541-4600
Type: Location
North Davis Highway, Ferry Pass, Pensacola, Escambia County, Florida, 32504, United States
PENSACOLA, FL 325032341
Phone: (850) 477-8109
Fax: (850) 478-2412
Type: Mailing
North Davis Highway, Pensacola, Escambia County, Florida, 32503, United States
PENSACOLA, FL 325032341
Phone: (850) 474-8988
Fax: (850) 476-5312
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 $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Boston Scientific Corporation ($42).
Total Amount
$42
General + Research + Ownership
Payments
2
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $42 |
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: 2023-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20040330000592 | I | Certified Registered Nurse Anesthetist (Crna) | AL | TBD |
| I20041204000060 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
| I20110111000022 | I | Certified Registered Nurse Anesthetist (Crna) | GA | TBD |
| I20230511002845 | I | Certified Registered Nurse Anesthetist (Crna) | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 112 | 112 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 79 | 79 | $0 |
| 01938 | Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 46 | 42 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 38 | 38 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 34 | 34 | $0 |
Insurance plans in this area (ZIP 75766)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| - | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL |
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