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

Courtney Cannon, PA

Individual provider Physician Assistant · NPI 1487678124

Courtney Cannon, PA is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2005, 21 years ago. Practices with Emily Program P C, a 50-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
21
Licensed in
MN
In the registry since
2006
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

914 S 8th St S100
Minneapolis, MN 55404-1210
Phone: (612) 347-5871
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10020 (MN)

Record details

NPI number1487678124
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Emily Program P C — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Minneapolis