Active NPI 1992160451 Individual Practitioner Female Practitioner

Kelly M Cannon , NP

Nurse Practitioner • Jackson, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelly Cannon, NP is a certified Nurse Practitioner practicing in Jackson, MI. With approximately 10 years of clinical experience since completing medical education in 2016, Kelly Cannon delivers high-quality medical care to the local community at 205 N EAST AVE.

Kelly Cannon is affiliated with Family Care Psychiatry Plc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

205 N East Ave

Jackson, MI 492011753

Telephone 5177884730

Fax 5177884701

Associated Practice Facility / Clinic

🏢 Jackson Radiology Consultants, P C Facility NPI 1295736015

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -1.0 yrs vs City Avg

City Avg: 11.0 Yrs

State Avg: 10.8 Yrs

Regional Practice Density

52 Specialists

Practicing in Jackson, MI (3626 Statewide)

Telehealth Adoption Rate

21.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

21.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cannon (10 Years) 10 Yrs

Jackson Specialty Average (11.0 Years) 11.0 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	27	15	$107.00	$78.65
99442 Telephone medical discussion with physician, 11-20 minutes	24	17	$86.00	$72.41

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	70	25	$105.00	$79.98
99442 Telephone medical discussion with physician, 11-20 minutes	39	26	$86.00	$54.29
99443 Telephone medical discussion with physician, 21-30 minutes	33	23	$122.00	$79.37
99441 Telephone medical discussion with physician, 5-10 minutes	15	13	$78.00	$28.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	34	$71.00	$56.12
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	45	29	$188.00	$50.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	28	$105.00	$82.25
99442 Telephone medical discussion with physician, 11-20 minutes	37	24	$86.00	$56.08
99335 Established patient assisted living visit, typically 25 minutes	30	17	$297.00	$78.91
99441 Telephone medical discussion with physician, 5-10 minutes	27	23	$78.00	$29.82
99441 Telephone medical discussion with physician, 5-10 minutes	17	17	$78.00	$29.93
99442 Telephone medical discussion with physician, 11-20 minutes	17	15	$86.00	$56.15
90792 Psychiatric diagnostic evaluation with medical services	11	11	$222.73	$147.74

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	93	44	$111.90	$83.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	92	49	$210.00	$57.41
99213 Established patient office or other outpatient visit, typically 15 minutes	79	49	$77.77	$56.89
99442 Telephone medical discussion with physician, 11-20 minutes	66	38	$85.89	$57.24
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	57	43	$188.00	$49.96
90792 Psychiatric diagnostic evaluation with medical services	56	55	$228.02	$147.49
99335 Established patient assisted living visit, typically 25 minutes	50	36	$297.00	$79.69
99441 Telephone medical discussion with physician, 5-10 minutes	28	22	$59.68	$30.37
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	20	$286.00	$75.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$54.29	$30.31
99443 Telephone medical discussion with physician, 21-30 minutes	21	14	$121.71	$84.15

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	95	51	$88.25	$66.85
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	94	57	$210.00	$58.36
99213 Established patient office or other outpatient visit, typically 15 minutes	91	62	$58.36	$43.49
99442 Telephone medical discussion with physician, 11-20 minutes	86	47	$82.83	$44.02
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	72	50	$188.00	$51.05
99335 Established patient assisted living visit, typically 25 minutes	61	38	$297.00	$81.03
90792 Psychiatric diagnostic evaluation with medical services	53	53	$200.21	$120.59
99441 Telephone medical discussion with physician, 5-10 minutes	50	38	$52.88	$22.13
99443 Telephone medical discussion with physician, 21-30 minutes	38	20	$119.63	$67.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	35	28	$286.00	$77.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$35.84	$21.53
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$68.94	$43.44

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	89	65	$87.20	$66.16
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	82	62	$210.00	$57.41
90792 Psychiatric diagnostic evaluation with medical services	55	54	$179.75	$118.58
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	54	44	$188.00	$50.51
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$55.93	$42.93
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	31	27	$278.19	$76.40
99335 Established patient assisted living visit, typically 25 minutes	30	25	$297.00	$79.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$33.81	$21.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	17	17	$101.00	$57.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	11	11	$165.00	$75.78

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	119	44	$150.00	$87.64
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	66	42	$103.00	$49.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	64	46	$101.00	$57.06
99213 Established patient office or other outpatient visit, typically 15 minutes	54	37	$105.00	$58.61
99335 Established patient assisted living visit, typically 25 minutes	47	35	$103.00	$78.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	42	37	$165.00	$75.31
90792 Psychiatric diagnostic evaluation with medical services	39	39	$305.00	$119.46
90792 Psychiatric diagnostic evaluation with medical services	35	35	$203.66	$119.00
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	12	12	$101.00	$36.72

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704289757

(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.

Hospital & Practice Group Affiliations

Family Care Psychiatry Plc

4972 W Clark Rd, Ypsilanti, MI 481970862

Phone: 7342062888

Practice Associates & Co-Workers

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

15 Associated Practitioners

Kathleen Mahoney , CSW

Social Worker - Clinical

NPI 1023051703

Clinical Social Worker

Antonio Palomba , LMSW

Social Worker

NPI 1275640393

Licensed Master Social Worker

Dr. Lee Snyder , PhD

Psychologist

NPI 1306803085

Doctor of Philosophy (Ph.D.)

Elizabeth Weisman , CSW

Social Worker

NPI 1306886486

Clinical Social Worker

Kara Ettenson , LMSW, MSW

Social Worker - Clinical

NPI 1326007147

Licensed Master Social Worker, Master of Social Work

Dr. Steven Putnam , PhD

Psychologist - Clinical

NPI 1386601920

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2015

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884730)

📍

Updated Business Mailing Address December 28, 2015

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884730)

👤

Provider Name / Credentials Updated December 28, 2015

Recorded as KELLY CANNON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2015

Nurse Practitioner (License #4704289757 in MI)

🟢

Initial NPI Registration & Enumeration December 28, 2015

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: 1992160451

Entity Type:

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

Enumeration Date: December 28, 2015

Last Update: December 28, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

205 N East Ave

Jackson, MI 492011753

Phone: 5177884730

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.