Stephen Jerome Cannon, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9205700 Issued in FL

Practice address

4810 N Davis Hwy
Pensacola, FL 32503-2341

Phone

(850) 474-8988

Fax

(850) 476-5312

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in AL, FL, GA, TX4 enrollments

Enrollment records 4

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mother Frances Hospital Jacksonville 30 clinicians

Gastroenterology Associates of Pensacola PA 40 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 51)

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.

• Gastroenterology Associates of Pensacola PA

  • Gastroenterology Physician
  • Pensacola, FL
  • NPI 1235223785

  FL

  Medicare reassignment Care Compare group NPD
• Mother Frances Hospital Jacksonville

  • Critical Access Hospital
  • Jacksonville, TX
  • NPI 1952306672

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment Care Compare group NPD
• Amsurg Melbourne Anesthesia LLC

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1477958189

  FL

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  FL, GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• BMR Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
  • NPI 1619444502

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• FDHS Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Bradenton, FL
  • NPI 1619571361

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Metro Orlando Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1558981712

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Orange County Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1003434762

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• SWF Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1588236954

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• West Florida Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Fort Myers, FL
  • NPI 1962926568

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Coastal Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Savannah, GA
  • NPI 1750753786

  GA

  Medicare reassignment NPD
• Gastroenterology Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1942563242

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1790737294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032341",
            "telephone_number": "850-477-8109",
            "fax_number": "850-478-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032341",
            "telephone_number": "850-474-8988",
            "fax_number": "850-476-5312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2026 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757665822",
            "country_code": "US",
            "telephone_number": "903-541-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "STEPHEN",
        "middle_name": "JEROME",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28237950A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP115468",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9205700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000001096178",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RR MEDICARE",
            "identifier": "P00166590",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009982295",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G1321",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300004501",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59169960",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59169961",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Can Community Health, Inc.
• Alexa I Canady, MD
• Andres Candela, M.D.
• Noelani Arango Candelaria, DO
• Julianna N Cannon
• Rebecca Suzanne Isabelle Canon, ARNP
• Amy Cantrell, OD
• Robert E Cantrell, RPH
• Marta M Cantwell, LMHC
• Anthony Michael Capano, R.PH.

• All providers in Pensacola, FL
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.