Active NPI
Benjamin Seth Cannon
- Family Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11024408
- Practice address
- 1 Shircliff Way
Jacksonville, FL 32204-4748 - Phone
- (904) 308-7300
- NPI assigned
- Feb 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11024408 | FL | Primary |
Addresses
Primary practice location
1 Shircliff Way
Jacksonville, FL 32204-4748
Mailing address
543 Kendall Crossing Dr
St Johns, FL 32259-8766
Phone (904) 521-9796
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230414001733 | FL | Practitioner - Nurse Practitioner | 6507231099 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Florida Jacksonville Physicians, Inc.
Practice addresses (Care Compare)
653 W 8TH St
Jacksonville, FL 32209-6511
655 W 8TH St
Jacksonville, FL 32209-6511
655 W 8TH St
Jacksonville, FL 32231-6511
Phone (904) 244-6340
76011 William Burgess Rd
Yulee, FL 32097-5428
Phone (904) 427-8590
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Specialists of Jacksonville | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Cep America, LLC | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
Organizations & group practices 12
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.
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1326208695
FL
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
FL
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1295738367
FL
-
- Pulmonary Disease Physician
- Jacksonville, FL
- NPI 1104086479
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1407016645
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1487814752
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1043907033
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Urgent Care Clinic/Center
- Yulee, FL
- NPI 1740836048
-
- Critical Care Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1962662239
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1891492831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 KENDALL CROSSING DR",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322598766",
"telephone_number": "904-521-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIRCLIFF WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044748",
"telephone_number": "904-308-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "BENJAMIN",
"middle_name": "SETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-09",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11024408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.