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

Mary Cannon

Individual provider Nurse Practitioner · NPI 1144789694

Mary Cannon is a Nurse Practitioner in Des Moines, Iowa. Qualified in 2018, 8 years ago. Practices with Central Iowa Hospital Corporation, a 229-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
8
Licensed in
IA
In the registry since
2019
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Practice location Address checks out

1200 Pleasant St # 206
Des Moines, IA 50309-1406
Phone: (515) 241-5750
Fax: (515) 241-5757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence A154039 (IA)

Record details

NPI number1144789694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2019
Last updated in NPPESJune 4, 2021
Certification dateJune 4, 2021
Mailing address1200 Pleasant St # 2016, Des Moines, IA 50309-1406

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Central Iowa Hospital Corporation — 229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Des Moines