CORYNN E CANNON PA-C
NPI 1972515450
Physician Assistant in Indianapolis, IN
NPI Status: Active since August 12, 2006
Contact Information
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN
ZIP 46237
Phone: (317) 865-4800
Fax: (317) 865-4806
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About CORYNN CANNON
This page provides the complete NPI Profile along with additional information for Corynn Cannon, a primary care provider established in Indianapolis, Indiana with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1972515450 assigned on August 2006. The practitioner's primary taxonomy code is 363A00000X with license number 10000644A (IN). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1972515450
- Provider Name
- CORYNN E CANNON PA-C
- Other Name
- CORYNN E ROEMER PA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237
- Location Phone
- (317) 865-4800
- Location Fax
- (317) 865-4806
- Mailing Address
- PO BOX 781076 DETROIT, MI 48278
- Mailing Phone
- (317) 528-4800
- Mailing Fax
- (317) 865-4806
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-12-2006
- Last Update Date
- 08-01-2024
- Code Navigator
A primary care provider (PCP) like Corynn Cannon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 8433 Harcourt Rd Suite 100
Indianapolis, IN 46260
(317) 338-6826 - 13000 E 136th St
Fishers, IN 46037
(317) 880-3900 - 8111 S Emerson Ave
Indianapolis, IN 46237
(131) 752-8814
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 10000644A
- License State
- IN
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Corynn Cannon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 12 times for 12 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 119 times for 119 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 15 times for 15 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 46237 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.04
- Minimum New Patient Price $53.07
- Maximum New Patient Price $161.76
- Average New Patient Copayment $20.51
- Minimum New Patient Copayment $13.26
- Maximum New Patient Copayment $40.44
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.48
- Minimum Established Patient Price $16.93
- Maximum Established Patient Price $132.22
- Average Established Patient Copayment $16.62
- Minimum Established Patient Copayment $4.23
- Maximum Established Patient Copayment $33.05
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Practice Improvements for Bilateral Exchange of Patient Information | Yes | N/A |
| Ensure that there is bilateral exchange of necessary patient information to guide patient care, such as Open Notes, that could include one or more of the following: • Participate in a Health Information Exchange if available; and/or • Use structured referral notes. | ||
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
Reviews for CORYNN E CANNON PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 7 | 2 | 5 | 1 | 5 | 4 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 10 | 1 | 10 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 0 + 1 + 1 + 0 + 4 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1972515450 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215196241 | KATHERINE IRENE BOONE Individual | Physician Assistant (Surgical) | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1396289757 | AMANDA AUFFREY PA-C Individual | Physician Assistant | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1437123437 | JONATHAN A MANDELBAUM MD Individual | Surgery | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1790759546 | DONALD G KING MD Individual | Surgery | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1598498941 | DARIAN R HUFF Individual | Physician Assistant | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1629042627 | MATHEW J LIBKE MD Individual | Surgery | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1225473929 | IGOR WANKO MBOUMI MD Individual | Surgery | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1376243915 | ALYSSA ANN ANDREIS Individual | Physician Assistant | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1891013868 | DR. KARIUKI PETER MURAGE MD Individual | Surgery | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1003178898 | KYLE NORRIS SEUDEAL MD Individual | Surgery | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1902208358 | EMILY MARIE RANDALL P.A. Individual | Physician Assistant (Medical) | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1609326008 | SYLVIA TAWFIK Individual | Physician Assistant | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1639465917 | AMANDA KATHLEEN WENGER PA Individual | Physician Assistant | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1720514383 | CHASITY MCGANN N.P Individual | Nurse Practitioner (Family) | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1043854409 | JACKIE SUZANNE TANK PA Individual | Physician Assistant | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1598100240 | JOSHUA K KAYS M.D. Individual | Surgery (Surgical Oncology) | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1225852759 | DAISY HEATH PA-C Individual | Physician Assistant | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
| 1962109405 | NATHAN P OKEY PA-C Individual | Physician Assistant | 5255 E STOP 11 RD STE 450 INDIANAPOLIS, IN 46237 (317) 865-4800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972515450, enumerated in the NPI registry as an "individual" on August 12, 2006
The provider is located at 5255 E Stop 11 Rd Ste 450 Indianapolis, In 46237 and the phone number is (317) 865-4800
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Aetna CVS Health and CareSource. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.04 with an average copayment of $20.51 for new patient appointments. Established patients should expect a typical charge of $66.48 and an average copayment of 16.62. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity and Emergency department visit for problem of high severity.
This NPI record was last updated on August 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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