Jennifer Cannella, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9109121 Issued in FL

Practice address

1250 Pine Ridge Rd Ste 200
Naples, FL 34108-8913

Phone

(239) 450-2422

NPI assigned

Oct 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Pain Care, PAGroup PAC ID 3072842533, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Naples Community Hospital Hospital, Naples, FL, CCN 100018
• Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: jennifer.dominguez.1@20047.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20047/brand/1/csg/1/fhir/r4
• Direct secure messaging: jennifer.dominguez.1@20141.direct.athenahealth.com

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.

• Elite Pain Care, PA

  • Pain Medicine (Anesthesiology) Physician
  • Naples, FL
  • NPI 1427600592
  Medicare reassignment Care Compare group
• Fort Myers Internal Medicine LLC

  • Internal Medicine Physician
  • Ft Myers, FL
  • NPI 1346588621
  Medicare reassignment
• Pro Active Pain Care PA

  • Pain Medicine (Anesthesiology) Physician
  • Bonita Springs, FL
  • NPI 1710457106
  Medicare reassignment

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

• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Naples Community Hospital Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation
• Naples Hma LLC

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1215003348
  Care Compare affiliation
• Naples Hma LLC

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1316992134
  Care Compare affiliation
• Patients First Home Care, LLC

  • Home Health Agency
  • Sarasota, FL
  • NPI 1245845312
  Care Compare affiliation

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1588036347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PINE RIDGE RD STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088913",
            "telephone_number": "239-450-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PINE RIDGE RD STE 200",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088913",
            "telephone_number": "239-450-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27160 Bay Landing Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354301",
            "country_code": "US",
            "telephone_number": "239-676-5665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNELLA",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9109121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vince Gene Cancelosa, DC
• Jennifer E Canfield, ARNP
• Kleidy Cangas Garcia
• Klenci Cangas Garcia
• Gregory J Cannarsa, MD
• Ashley Marie Canning
• Brian T Cannon, M.D.
• Charles Cano, D.D.S.
• Diego Alejandro Cano, PTA
• Christopher Joseph Canter

• Medical Physician Assistant in Naples, FL
• Providers in Naples, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.