CALLIE CLARK (NP) – Nurse Practitioner, NPI 1487114484
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for CALLIE CLARK (NP)
UAB Hospital, 1802, 6th Avenue South, Automotive Historic District, Birmingham, Jefferson County, Alabama, 35233, United States
BIRMINGHAM, AL 352331932
Phone: (205) 527-4743
Type: Mailing
1 INDEPENDENCE PLAZA
STE 900
BIRMINGHAM, AL 352092643
Phone: (205) 271-8000
Fax: (205) 271-8050
Type: Mailing
1 INDEPENDENCE PLZ STE 900
HOMEWOOD, AL 352092643
Phone: (205) 271-8000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 196 Open Payments records for all available years, with a total value of $3,516.
Total Amount is formed as General ($3,516) + Research ($0) + Ownership ($0) = $3,516.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($874).
Total Amount
$3,516
General + Research + Ownership
Payments
196
Total payment records
General Amount
$3,516
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $874 |
| QOL Medical, LLC | $371 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $330 |
| Celgene Corporation | $180 |
| Janssen Biotech, Inc. | $178 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210728000926 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 35233)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| - | AL | |
| - | AL | |
| Physician Assistant | AL | |
| Gastroenterology, Internal Medicine | AL | |
| Gastroenterology, Internal Medicine | AL | |
| Nurse Practitioner | IL | |
| - | AL | |
| Nurse Practitioner | AL | |
| - | AL |
Reviews
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