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

Bernetta Cannon, FNP-C

Individual provider Family Nurse Practitioner · NPI 1891480950

Bernetta Cannon, FNP-C is a Nurse Practitioner in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Palos Medical Center PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

237 W 95th St
Chicago, IL 60628-1321
Phone: (773) 468-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.025522 (IL)

Record details

NPI number1891480950
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 5, 2023
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address237 W 95th St, Chicago, IL 60628-1321

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Palos Medical Center Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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