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

Corynn E Cannon, PA-C

Individual provider Physician Assistant · NPI 1972515450

Corynn E Cannon, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2003, 23 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
23
Licensed in
IN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5255 E Stop 11 RD Ste 450
Indianapolis, IN 46237-6342
Phone: (317) 865-4800
Fax: (317) 865-4806
Show map & directions

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

Additional practice locations (3)

  • 13000 E 136th St, Fishers, IN 46037-9478 — (317) 880-3900
  • 8111 S Emerson Ave, Indianapolis, IN 46237-8601 — (131) 752-8814
  • 8433 Harcourt Rd, Indianapolis, IN 46260-2190 — (317) 338-6826

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10000644A (IN)

Record details

NPI number1972515450
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESAugust 1, 2024
Certification dateJanuary 18, 2024
Mailing addressPo Box 781076, Detroit, MI 48278-4959

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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