Kimberly Cannon, NP
NPI 1558838896ActiveIndividual· Nurse Practitioner, Family· Casa Grande, AZ
Nurse Practitioner, Family (NP) in Casa Grande, Arizona, licensed in AZ, with an NPI issued in October 2018. Their prescriptions cost Medicare Part D more than their services did: $110,451 for 1,465 claims, against $25,869 paid for services in 2024.
Overview
| NPI | 1558838896 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Oct 24, 2018 |
| Last updated in NPPES | Oct 21, 2026 |
| Certified by provider | Oct 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 223210 | AZ |
| Nurse Practitioner, Family | 363LF0000X | 115092 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 207 |
|---|---|
| Services billed | 451 across 27 procedure codes |
| Paid by Medicare | $25,869 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,465 · 3,305 30-day fills |
|---|---|
| Patients | 332 |
| Total drug cost | $110,451 |
| Generic share | 88% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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