Jeremiah Cannon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

25938.1600 Issued in WY

Practice address

1125 Charles Ave
Worland, WY 82401-4021

Phone

(307) 347-2449

Fax

(307) 864-5226

NPI assigned

Mar 1, 2017

Last updated

Mar 1, 2017By the provider in NPPES

Sex

Male

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 WY

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hot Springs County Hospital DistrictGroup PAC ID 9234020439, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hot Springs County Memorial Hospital Hospital, Thermopolis, WY, CCN 531304
• Washakie Medical Center Hospital, Worland, WY, CCN 531306

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcannon@hscmh.cernerdirect.com

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.

• Hot Springs County Hospital District

  • Critical Access Hospital
  • Thermopolis, WY
  • NPI 1861550642
  Medicare reassignment Care Compare group NPD
• Hot Springs County Hospital District

  dba Hot Springs Health Riverton

  • Rural Health Clinic/Center
  • Riverton, WY
  • NPI 1841814084
  NPD
• Hot Springs County Hospital District

  dba Big Horn Clinic

  • Family Medicine Physician
  • Basin, WY
  • NPI 1174524607
  NPD (past)

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

• Hot Springs County Hospital District

  • Critical Access Hospital
  • Thermopolis, WY
  • NPI 1861550642
  Care Compare affiliation
• Washakie Medical Center

  • Critical Access Hospital
  • Worland, WY
  • NPI 1255368593
  Care Compare affiliation

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1629518220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 COBURN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013611",
            "telephone_number": "303-981-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CHARLES AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824014021",
            "telephone_number": "307-347-2449",
            "fax_number": "307-864-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "JEREMIAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "25938.1600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheridan Brickman
• Emily Bryant, OD
• Jeffery Brandon Butte, DO
• Jeanna M Butterfield, MSW, LCSW
• Michael C Calhoun
• Caring Hearts Case Management
• Carl C. Cottrell, O.D.
• Keristyn J Carrell, NP
• Anita Christine Carver, OTR/L
• Susan M Chavis

• Family Nurse Practitioner in Worland, WY
• Providers in Worland, WY by specialty
• Family Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.