Ellen Cannon
Physician Assistant · Philadelphia, PA
Ellen Cannon is a physician assistant with a practice address in Philadelphia, Pennsylvania, and NPI 1083169890, issued on Aug 22, 2016. Check the license (Pennsylvania MA058639, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ellen Cannon
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- MA058639 PA
Self-reported in NPPES; status is on the state search - Practice location
- 3401 Civic Center Blvd, Philadelphia, PA 19104
- Phone
- (610) 209-6383
- Enumerated
- Aug 22, 2016
- Record last updated
- Jan 26, 2024
- Medicare enrollment
- Enrolled (PECOS I20240404003755); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 8,020 in Pennsylvania → Look up another NPI →
Also registered at 3401 Civic Center Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Ellen Cannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license MA058639Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
98% fewer Medicare Part D claims than the average physician assistant in 2024
16 Medicare Part D claims, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $90.09
1 payment: food and beverage; the largest payer was Inari Medical, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Colorado Advanced Endovascular, LLCLakewood, CO
- Colorado Imaging Associates P CLakewood, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ellen Cannon among 8,020 physician assistant records in Pennsylvania
Ellen Cannon is one of 8,020 physician assistant records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 44% of them.
- NPI issued2016 · 44% of these records are older, 52% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2016 · median 2018 among the 5,313 with a school on file
- Record last updated2024 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
955 physician assistant records list a practice address in Philadelphia
They are 955 of the 42,849 NPPES records with a practice address in Philadelphia, and 8,020 physician assistant records in Pennsylvania.
All 8,020 in Pennsylvania → Every provider in Philadelphia → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Eleanor Bevan, PA-CPhiladelphia, PA 191041891701629
- Paul Bradford, PA-CPhiladelphia, PA 191041588641435
- Jillian Fox, PAPhiladelphia, PA 191041912964248
- Marylouis Friedberger, PA-CPhila, PA 191041962468009
- Karen Hooven, PA-CPhiladelphia, PA 191041306931118
- Benjamin Hurtig, PA-CPhiladelphia, PA 191041386726636
- Craig Katz, PA-CPhiladelphia, PA 191041073555496
- Tiffany Montgomery, PA-CPhiladelphia, PA 191041558451336
Common questions
What is Ellen Cannon's NPI number?
Ellen Cannon's National Provider Identifier (NPI) is 1083169890, issued on Aug 22, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Ellen Cannon located?
The NPPES record lists a practice address at 3401 Civic Center Blvd, Philadelphia, PA, 19104. Phone: (610) 209-6383. Providers update this record themselves, so call before visiting.
How can I verify Ellen Cannon's license?
NPPES lists Pennsylvania license number MA058639, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
How much does Ellen Cannon prescribe under Medicare Part D?
In 2024, Ellen Cannon had 16 Medicare Part D claims; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions 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.