Individual provider Active NPI

Nicholas John Canion, NP

  • Family Nurse Practitioner
  • San Angelo, TX
National Provider Identifier
1629008768
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP114373 Issued in TX
Practice address
402 N Bryant Blvd
San Angelo, TX 76903-5257
Phone
(325) 655-5125
Fax
(325) 655-5340
NPI assigned
Jul 4, 2006
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 279913 AZ
Family Nurse Practitioner 363LF0000X AP114373 TX Primary

Addresses

Primary practice location

402 N Bryant Blvd
San Angelo, TX 76903-5257

Mailing address

402 N Bryant Blvd
San Angelo, TX 76903-5257
Phone (325) 655-5125

Other practice location 1

3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 949-9511

Other names 1

  • John Canion Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ND, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051216000156 TX Practitioner - Nurse Practitioner 2769403823 Reassigns benefits to 12 organizations
I20200107002814 ND Practitioner - Nurse Practitioner 2769403823 Reassigns benefits to 4 organizations
I20221207003175 AZ Practitioner - Nurse Practitioner 2769403823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tempe Emergency Physicians LTDGroup PAC ID 2365337300, 15 clinicians
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
North Runnels County HospitalGroup PAC ID 6507757812, shared by 4 NPIs, 11 clinicians

Practice addresses (Care Compare)

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (928) 763-2273

705 E Felt St
Brownfield, TX 79316-3499
Phone (806) 637-3551

7571 State Hwy 153
Winters, TX 79567-7439
Phone 3257541500519

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.8 of 100Reported as group
Quality
85.23
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP114373TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Sep 15, 2020 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Aug 21, 2021 Accepting new patients
Carrington Health Center Current Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Dimmit Regional Hospital CurrentSince Jan 1, 2026 Accepting new patients
Tempe Emergency Physicians, LTD CurrentSince Nov 1, 2022 Accepting new patients
Lone Star Emergency Associates LLC CurrentSince Oct 10, 2025 Accepting new patients
Third Coast Emergency Physicians Southwest PA CurrentSince Feb 1, 2023 Accepting new patients
Acs Primary Care Physicians Southwest, PA Family CurrentSince May 1, 2022 Accepting new patients
Carrington Health Center CurrentSince Jan 1, 2024 Accepting new patients
Dimmit Regional Hospital CurrentSince Jan 1, 2026 Accepting new patients
Carrington Health Center CurrentSince Jan 1, 2024 Accepting new patients
Terry Memorial Hospital District CurrentSince Jan 6, 2025 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Aug 21, 2021 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Oct 16, 2019 Accepting new patients
Terry Memorial Hospital District CurrentSince Jan 6, 2025 Accepting new patients
St Joseph's Hospital and Health Center CurrentSince Oct 16, 2019 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Sep 15, 2020 Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Sep 1, 2022 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Feb 1, 2023 Accepting new patients
San Angelo Emergency Physicians Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Regional Employee Assistance Program Inc Past Accepting new patients
Carrington Health Center Past Accepting new patients
Tom Green Emergency Medicine Associates PA Past Accepting new patients

Locations (25 of 37)

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

3290 Solutions Ctr
Chicago, IL 60677

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

7776 Solutions Ctr
Chicago, IL 60677

820 5th St N
Carrington, ND 58421
Phone (701) 399-0123

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

4784 Amber Valley Pkwy S
Fargo, ND 58104

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

1313 Veterans Ave
Ste A
Crystal City, TX 78839
Phone (830) 374-9823

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

5900 Altamesa Blvd
Ft Worth, TX 76132
Phone (817) 433-9100

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

22430 Grand Corner Dr
Katy, TX 77494
Phone (281) 371-1800

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

Interoperability endpoints

  • Direct secure messaging: ncanion38941@shannonhealth.direct-ci.com

Organizations & group practices 29

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.

View all 29

Hospital & facility affiliations 5

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1629008768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N BRYANT BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035257",
            "telephone_number": "325-655-5125",
            "fax_number": "325-655-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N BRYANT BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035257",
            "telephone_number": "325-655-5125",
            "fax_number": "325-655-5340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Knickerbocker Rd",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769047610",
            "country_code": "US",
            "telephone_number": "325-949-9511",
            "fax_number": "325-947-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANION",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "279913",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP114373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "CANION",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.