Active NPI 1174155097 Individual Practitioner Female Practitioner

Lori Cannon , NP-C

Nurse Practitioner • Surprise, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lori Cannon, NP-C is a certified Nurse Practitioner practicing in Surprise, AZ. With approximately 7 years of clinical experience since completing medical education in 2019, Lori Cannon delivers high-quality medical care to the local community at 12665 W SMOKEY DR STE 140.

Lori Cannon is affiliated with Banner - University Physician Specialists Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12665 W Smokey Dr Ste 140

Surprise, AZ 853783732

Telephone 6232194040

Associated Practice Facility / Clinic

🏢 American Arthritis & Rheumatology Associates - Az Pllc Facility NPI 1346734944

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Surprise, AZ

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs +1.8 yrs vs City Avg

City Avg: 5.2 Yrs

State Avg: 8.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Surprise, AZ (1459 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cannon (7 Years) 7 Yrs

Surprise Specialty Average (5.2 Years) 5.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	147	$174.50	$80.28
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$399.94	$149.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$307.88	$76.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	99	$141.36	$81.06
99443 Telephone medical discussion with physician, 21-30 minutes	33	29	$100.00	$78.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$365.00	$150.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$221.00	$119.25
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$102.50	$76.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	75	$139.63	$81.60
99443 Telephone medical discussion with physician, 21-30 minutes	50	34	$100.00	$81.56
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$102.77	$76.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	35	$147.30	$83.63
99443 Telephone medical discussion with physician, 21-30 minutes	28	21	$100.00	$83.89
99213 Established patient office or other outpatient visit, typically 15 minutes	25	20	$63.36	$54.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$266.00	$114.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	30	$134.00	$67.15
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	20	17	$34.00	$11.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$266.00	$110.02
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$100.00	$67.15
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$67.00	$43.62

Medical Specialties & State Licenses

CMS Verified: 2026-07-07

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AZ 236251

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License AZ 236251

Definition to come...

Hospital & Practice Group Affiliations

Banner - University Physician Specialists Llc

1300 N 12th St, Phoenix, AZ 850062858

Phone: 6028396800

Secondary Practice Locations

1300 N 12th St Ste 612

Phoenix, AZ 850062850

Phone: 6025213000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Vijayabhanu Mahadevan , MD

Internal Medicine - Rheumatology

NPI 1083727333

Doctor of Medicine (M.D.)

Glenna Howe , APRN

Nurse Practitioner

NPI 1245058882

Advanced Practice Registered Nurse

Daniel Mizell , PA-C

Physician Assistant

NPI 1376141515

Physician Assistant (Certified)

Dr. Rajbir Gulati , MD

Internal Medicine - Rheumatology

NPI 1598095226

Doctor of Medicine (M.D.)

Madison Abrams

Physician Assistant

NPI 1609495571

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location July 07, 2026

Registered at 12665 W SMOKEY DR STE 140, SURPRISE, AZ 853783732 (Tel: 6232194040)

📍

Updated Business Mailing Address July 07, 2026

Registered at 1701 HIGHWAY A1A STE 300, VERO BEACH, FL 329632263 (Tel: 5613200996)

✅

NPI Profile Active February 08, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location February 08, 2020

Registered at 1300 N 12TH ST STE 612, PHOENIX, AZ 850062850 (Tel: 6025213000)

📍

Updated Business Mailing Address February 08, 2020

Registered at 5101 W ACOMA DR, GLENDALE, AZ 853064311 (Tel: 6026630869)

👤

Provider Name / Credentials Updated February 08, 2020

Recorded as LORI CANNON, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2020

Nurse Practitioner (License #236251 in AZ)

🟢

Initial NPI Registration & Enumeration February 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174155097

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 08, 2020

Last Update: July 07, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1701 Highway A1a Ste 300

Vero Beach, FL 329632263

Phone: 5613200996

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.