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

Jessica Cannon, PA

Individual provider Surgical Physician Assistant · NPI 1710426549

Jessica Cannon, PA is a Physician Assistant in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 2016, 10 years ago. Practices with MD West One PC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
10
Trained at
University of Nebraska College of Medicine
Licensed in
NE
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8005 Farnam Dr Ste 305
Omaha, NE 68114-3426
Phone: (402) 390-4111
Fax: (402) 390-4115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 N 192nd St, Elkhorn, NE 68022-5363 — (402) 390-4111

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2109 (NE)

Record details

NPI number1710426549
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 13, 2017
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Md West One Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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