Shannon Cannon, MD
NPI 1558604512 · Pediatric Urology Physician · Madison, WI
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Cannon, MD is a Pediatric Urology Physician provider in Madison, WI (NPI 1558604512).
Provider details
- NPI number
- 1558604512
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- ML60370885 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1959 Ne Pacific StSeattle, WA 98195-6410Phone: (206) 685-1982
- 4800 Sand Point Way NeM/S Oa.9.220Seattle, WA 98105-3901Phone: (206) 987-1160
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2021-08-27
- Certified
- 2021-08-27
Frequently asked questions
- What is Shannon Cannon's NPI number?
- Shannon Cannon's National Provider Identifier (NPI) is 1558604512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Cannon's specialty?
- Shannon Cannon is listed in the NPPES registry with a primary specialty of Pediatric Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Shannon Cannon located?
- Shannon Cannon's practice location on file with NPPES is 600 Highland Ave, Madison, WI 53792-0001.
- What is Shannon Cannon's phone number?
- The practice phone number listed in the NPPES registry for Shannon Cannon is (608) 263-6420.
- Does Shannon Cannon accept Medicare?
- Shannon Cannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Cannon's NPI active?
- Yes — Shannon Cannon's NPI (1558604512) is active in the NPPES registry as of the last update on 2021-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.