Individual provider Active NPI

Natalia Rose Mainord-Cannon, FNP-C

  • Family Nurse Practitioner
  • Charleston, MO
National Provider Identifier
1194407635
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023024699 Issued in MO
Practice address
1403 E Marshall St
Charleston, MO 63834-1446
Phone
(573) 683-2327
Fax
(573) 683-2373
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023024699 MO Primary

Addresses

Primary practice location

1403 E Marshall St
Charleston, MO 63834-1446

Mailing address

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 472-7423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831001286 MO Practitioner - Nurse Practitioner 4183087687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Facilities Rehab Services IncGroup PAC ID 3476679226, 152 clinicians

Practice addresses (Care Compare)

1102 Sikes Ave
Sikeston, MO 63801-5021

Hospital & facility affiliations

  • Elara Caring Home health agency, Dexter, MO, CCN 267589
  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Delta Medical Center CurrentSince Aug 7, 2023 Accepting new patients
Missouri Delta Medical Center CurrentSince Aug 7, 2023 Accepting new patients
Mississippi County Health Department Past Accepting new patients

Locations

1403 E Marshall St
Charleston, MO 63834
Phone (573) 683-2327

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1194407635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-472-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 E MARSHALL ST",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "638341446",
            "telephone_number": "573-683-2327",
            "fax_number": "573-683-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINORD-CANNON",
        "first_name": "NATALIA",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023024699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, MO

Sources for this page

Verify at the official NPI Registry.