Natasha Yvonne Jackson-Cannon, AG-ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN11006144 Issued in FL

Practice address

756 N Suncoast Blvd
Crystal River, FL 34429-9072

Phone

(352) 346-3127

Fax

(352) 581-6226

NPI assigned

Aug 30, 2013

Last updated

Jul 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians

Chma of FL, PLLCGroup PAC ID 8123420643, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Chma of FL, PLLC

  • Internal Medicine Physician
  • Aventura, FL
  • NPI 1912581653
  Medicare reassignment Care Compare group NPD
• Healing Partners Plus PLLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1063217545

  FL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1578997136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344299072",
            "telephone_number": "352-346-3127",
            "fax_number": "352-581-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 N SUNCOAST BLVD",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344299072",
            "telephone_number": "352-346-3127",
            "fax_number": "352-581-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-CANNON",
        "first_name": "NATASHA",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2021-07-20",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "FL",
            "license": "RN 9355976",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11006144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine & Pediatrics Wellness Center
• Ira Fialko DO PA (Premier Pediatrics Coastal)
• Irven Chiropractic Health Center,Inc.
• Nancy I Irven, D.C.
• David Irvine, M.D.
• Jad Therapy LLC
• Jamal a Fakhoury DC PA
• Jan's Optical Shop of Crystal River
• Jandk Lastinger Inc.
• Kayla Nicole Jent, PA-C

• Acute Care Nurse Practitioner in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.