Amanda Graves Cannon, FNP - Medicare Nurse Practitioner in Vineyard, UT

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Amanda Graves Cannon, FNP is a medicare enrolled "Nurse Practitioner - Family" in Vineyard, Utah. Her current practice location is 667 E 500 N Ste 200, Vineyard, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 669-5758.

Amanda Graves Cannon is licensed to practice in Utah (license number 9111041-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760968804.

Contact Information

Amanda Graves Cannon, FNP
667 E 500 N Ste 200,
Vineyard, UT 84059-6004
(801) 669-5758
(801) 216-8357

Map and Direction




Provider's Profile

Full NameAmanda Graves Cannon
GenderFemale
SpecialityNurse Practitioner - Family
Location667 E 500 N Ste 200, Vineyard, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760968804
  • Provider Enumeration Date: 07/12/2018
  • Last Update Date: 11/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1153650569
  • Enrollment ID: I20241119002876

Medical Identifiers

Medical identifiers for Amanda Graves Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760968804NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0001XNurse Practitioner - Obstetrics & Gynecology 911041 (Utah)Secondary
363LF0000XNurse Practitioner - Family 9111041-4405 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Graves Cannon allows following entities to bill medicare on her behalf.
Entity NameValley Obstetrics And Gynecology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588863377
PECOS PAC ID: 5890862726
Enrollment ID: O20080918000547

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Graves Cannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Graves Cannon, FNP
667 E 500 N Ste 200,
Vineyard, UT 84059-6004

Ph: (801) 669-5758		Amanda Graves Cannon, FNP
667 E 500 N Ste 200,
Vineyard, UT 84059-6004

Ph: (801) 669-5758

Reviews and Comments


Nurse Practitioner Nurses in Vineyard, UT

Edward Parry, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 691 E 400 N, Ste. 110, Vineyard, UT 84058
Phone: 385-203-0246    Fax: 385-203-0245
Trisha D Evans, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 49 S Samara St, Vineyard, UT 84059
Phone: 925-918-1354    Fax: 801-810-1018
Brett Wheatfill, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 691 E 400 N Ste 110, Vineyard, UT 84059
Phone: 385-203-0246    Fax: 385-203-0245
Ms. Jentry Cora Mckell, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 691 E 400 N Ste 110, Vineyard, UT 84059
Phone: 385-203-0246    Fax: 385-203-0245
Sadie Lynn Lemmon,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 261 W 630 N, Vineyard, UT 84059
Phone: 801-227-4814    
Curtis Lura, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 691 E 400 N Ste 110, Vineyard, UT 84059
Phone: 385-203-0246    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.