Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053877902 Individual Practitioner Male Practitioner

Chase Andrew Cannon , PA

Physician Assistant • Nellis Afb, NV

Professional Overview & Biography Verified Profile Summary

Chase Cannon, PA is a registered healthcare professional specializing in Physician Assistant in Nellis Afb, NV. Practice services are available at 4700 LAS VEGAS BLVD N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Telephone 7026532273
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Nellis Afb, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
33 Specialists

Practicing in Nellis Afb, NV (1097 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 12556320-8906

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Katrina Baumann , DPT

Physical Therapist - Orthopedic

NPI 1003260746

Doctor of Physical Therapy

Dr. Soukaina Noor , MD

Psychiatry & Neurology - Neurology

NPI 1003441569

Doctor of Medicine (M.D.)

Dr. Edward Kempton , MD

Emergency Medicine

NPI 1003442971

Doctor of Medicine (M.D.)

Dr. Aaron Wolbrueck , DO

Internal Medicine

NPI 1003444977

Doctor of Osteopathic Medicine (D.O.)

Dr. Eileen Ly , MD

Family Medicine

NPI 1013502780

Doctor of Medicine (M.D.)

Dr. Brannon Inman , MD

Internal Medicine - Critical Care Medicine

NPI 1013543248

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2025

Physician Assistant (License #12556320-8906 in UT)

📍
Updated Practice Location April 02, 2025

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532273)

📍
Updated Business Mailing Address April 02, 2025

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600

📍
Updated Practice Location September 20, 2021

Registered at 7321 BALMER ST # 570, HILL AFB, UT 840565012 (Tel: 8015862273)

📍
Updated Business Mailing Address September 20, 2021

Registered at 7321 BALMER ST # 570, HILL AFB, UT 840565012

📍
Updated Practice Location February 11, 2020

Registered at 1090 ARNOLD DR, LITTLE ROCK AFB, AR 720992502 (Tel: 5019873080)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2020

Physician Assistant

📍
Updated Business Mailing Address February 10, 2020

Registered at 1090 ARNOLD DR, LITTLE ROCK AFB, AR 720994933

👤
Provider Name / Credentials Updated February 10, 2020

Recorded as CHASE CANNON, PA

NPI Profile Active February 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2019

Registered at 500 FISHER ST, BILOXI, MS 395342502 (Tel: 2283762273)

📍
Updated Business Mailing Address February 15, 2019

Registered at 500 FISHER ST, BILOXI, MS 395342502

👤
Provider Name / Credentials Updated February 15, 2019

Recorded as CHASE CANNON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 15, 2019

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: 1053877902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2019
Last Update: September 29, 2025
Sole Proprietor: No

Mailing Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

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.