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

Chase Andrew Cannon, PA

Individual provider Physician Assistant · NPI 1053877902

Chase Andrew Cannon, PA is a Physician Assistant in Nellis AFB, Nevada. Licensed in Utah. Registered with an NPI since 2019.

Licensed in
UT
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12556320-8906 (UT)

Record details

NPI number1053877902
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 15, 2019
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

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