Ms Jacquelyn Danette Cannon, ARNP - Medicare Nurse Practitioner in Jacksonville, FL

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Ms Jacquelyn Danette Cannon, ARNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Jacksonville, Florida. She went to Atlantic Medical College and graduated in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Florida Jacksonville Physicians, Inc., Millennium Physician Group Llc and her current practice location is 11513 N Main St, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (855) 674-7400.

Ms Jacquelyn Danette Cannon is licensed to practice in Florida (license number ARNP9169833) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558536490.

Contact Information

Ms Jacquelyn Danette Cannon, ARNP
11513 N Main St,
Jacksonville, FL 32218-4002
(855) 674-7400
(904) 730-1037

Map and Direction




Provider's Profile

Full NameMs Jacquelyn Danette Cannon
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location11513 N Main St, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Jacquelyn Danette Cannon attended and graduated from Atlantic Medical College in 2007
  NPI Data:
  • NPI Number: 1558536490
  • Provider Enumeration Date: 04/22/2008
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587724307
  • Enrollment ID: I20081124000096

Medical Identifiers

Medical identifiers for Ms Jacquelyn Danette Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558536490NPI-NPPES
ARNP9169833OtherFLFLORIDA BOARD OF NUSING LICENSE #
580304754AMedicaidGA
0031120-00MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care ARNP9169833 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Shands JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Florida Jacksonville Physicians, Inc.9133025869665
Millennium Physician Group Llc9830244433789

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. Ms Jacquelyn Danette Cannon allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326208695
PECOS PAC ID: 9133025869
Enrollment ID: O20040204000616
Entity NameRmed Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508815358
PECOS PAC ID: 6608768411
Enrollment ID: O20040326000760
Entity NamePhysical Medicine Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952343261
PECOS PAC ID: 1658335328
Enrollment ID: O20041113000028
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487814752
PECOS PAC ID: 9133025869
Enrollment ID: O20050414000212
Entity NameInpatient Consultants Of Florida, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396795597
PECOS PAC ID: 4789614785
Enrollment ID: O20050819000018
Entity NameMillennium Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811122880
PECOS PAC ID: 9830244433
Enrollment ID: O20090903000338
Entity NameHni Medical Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366735169
PECOS PAC ID: 6406028810
Enrollment ID: O20111007000131
Entity NameLegacy Physiatry Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316078769
PECOS PAC ID: 1759353519
Enrollment ID: O20141014000387
Entity NameHospital Physician Services Of Florida Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558718635
PECOS PAC ID: 7012201965
Enrollment ID: O20160816000476

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. Ms Jacquelyn Danette 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
Ms Jacquelyn Danette Cannon, ARNP
2675 Winkler Ave Fl 2,
Fort Myers, FL 33901-9342

Ph: (877) 856-3774		Ms Jacquelyn Danette Cannon, ARNP
11513 N Main St,
Jacksonville, FL 32218-4002

Ph: (855) 674-7400

Reviews and Comments


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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.