Annie Jane Xiao Xiao Cannon, PA-C
Surgical Physician Assistant · Park City, UT
Annie Jane Xiao Xiao Cannon, PA-C is a surgical physician assistant with a practice address in Park City, Utah, and NPI 1225737513, issued on Feb 27, 2023. Check the license (Utah 14245481-1206, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Annie Jane Xiao Xiao Cannon
- Credential
- PA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 14245481-1206 UT
Self-reported in NPPES; status is on the state search - Practice location
- 900 Round Valley Dr, Park City, UT 84060
- Phone
- (435) 655-6600
- Enumerated
- Feb 27, 2023
- Record last updated
- Nov 9, 2025
- Medicare enrollment
- Enrolled (PECOS I20260311003089); accepts Medicare assignment
- Medical or professional school
- University Of Utah School Of Medicine, 2025
- Entity
- Type 1 · individual
Also registered at 900 Round Valley Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Elizabeth Albert, MDEmergency Medicine Physician1295362887
- Lisa Anderson, SLP, MS, CCCSpeech-Language Pathologist1407149123
- Adam Balls, M.D.Emergency Medicine Physician1265532717
- Callie Bauer, LMTMassage Therapist1023766516
- Kristina Beaver, P.T.Physical Therapist1548594336
- Nichole Bernhard, O.T.R.Neurorehabilitation Occupational Therapist1356462394
Verify Annie Jane Xiao Xiao Cannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 14245481-1206Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Rosenberg Cooley Metcalf LCPark City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
8 surgical physician assistant records list a practice address in Park City
They are 8 of the 664 NPPES records with a practice address in Park City, and 145 surgical physician assistant records in Utah.
All 8 in Park City → All 145 in Utah → Every provider in Park City →
Other surgical physician assistant records in Utah
- Lindsay Adams, PAAmerican Fork, UT1750628004
- McKenzie Alban, PA-SSalt Lake City, UT1235754490
- William AlleySalt Lake City, UT1700401759
- Chris AndersonSalt Lake City, UT1043699101
- Jessiann Andrus, PASalt Lake City, UT1417382789
- Andrea Barker, PA-C, MPASSalt Lake City, UT1427206143
- Cristal Bedolla, PA-CWest Valley, UT1588256622
- Cristina Berkholder, PA-CSalt Lake City, UT1386155273
- Brock BodilySouth Jordan, UT1366004517
- David Brock, PA-CProvo, UT1205024122
Common questions
What is Annie Jane Xiao Xiao Cannon, PA-C's NPI number?
Annie Jane Xiao Xiao Cannon, PA-C's National Provider Identifier (NPI) is 1225737513, issued on Feb 27, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Annie Jane Xiao Xiao Cannon, PA-C located?
The NPPES record lists a practice address at 900 Round Valley Dr, Park City, UT, 84060. Phone: (435) 655-6600. Providers update this record themselves, so call before visiting.
How can I verify Annie Jane Xiao Xiao Cannon, PA-C's license?
NPPES lists Utah license number 14245481-1206, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.