Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annie Jane Xiao Xiao Cannon, PA-C

Individual provider Surgical Physician Assistant · NPI 1225737513

Annie Jane Xiao Xiao Cannon, PA-C is a Physician Assistant in Park City, Utah. Graduated from University of Utah School of Medicine in 2025, 1 year ago. Practices with Rosenberg Cooley Metcalf Lc, a 36-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

900 Round Valley Dr
Park City, UT 84060-7552
Phone: (435) 655-6600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 14245481-1206 (UT)

Record details

NPI number1225737513
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 27, 2023
Last updated in NPPESNovember 9, 2025
Certification dateNovember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Rosenberg Cooley Metcalf Lc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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