MS. KIMBERLY A CALLAHAN (FNP) – Family Nurse Practitioner, NPI 1457515835
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. KIMBERLY A CALLAHAN (FNP)
401, South Calvary Way, Clemenceau, Cottonwood, Yavapai County, Arizona, 86326, United States
COTTONWOOD, AZ 863264165
Phone: (928) 634-6369
Fax: (928) 634-6389
Type: Location
4901 DAWN DR STE 3400
LUMBERTON, NC 283608288
Phone: (910) 738-3103
Fax: (910) 738-3465
Type: Location
1301 Bertha Howe Ave
Suite 1
Mesquite, NV 890277502
Phone: (702) 346-0800
Fax: (702) 346-0801
Type: Location
2002 N CEDAR ST STE B
LUMBERTON, NC 283583926
Phone: (910) 737-3147
Fax: (928) 634-6389
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: ABBVIE INC. ($78).
Total Amount
$109
General + Research + Ownership
Payments
3
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $78 |
| Gilead Sciences, Inc. | $16 |
| SHIELD THERAPEUTICS INC | $14 |
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: 2023-05-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080923000769 | I | Nurse Practitioner | GA | TBD |
| I20230526002115 | I | Family Practice | SC | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 18 | $0 |
Insurance plans in this area (ZIP 86326)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| - | AZ | |
| Nurse Practitioner | AZ | |
| Family Practice | AZ | |
| Nurse Practitioner | AZ | |
| - | GA | |
| Family Practice | FL | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| Internal Medicine | AZ |
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