CALLIE POOLE (PA-C) – Physician Assistant, NPI 1225498074

CALLIE POOLE (PA-C) is a healthcare provider. based in Jonesboro, Arkansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PT2016-022 (AR). The NPI Number for CALLIE POOLE (PA-C) is 1225498074

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CALLIE POOLE (PA-C)
NPI
1225498074
Phone
(870) 932-1198
Address
300 CARSON ST
Enumeration Date
7 March 2016
Last Update Date
8 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702078210
Graduation Year
2016 (10 years ago)
PAC ID
0446558381
Group Practice PAC ID
2769637222
Professional Enrollment ID
I20160411000870
Address ID
AR724013119JO225XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:10State licenses:2Digital endpointsOther names

629 PHYSICIAN ASSISTANT in AR

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Provider Addresses for CALLIE POOLE (PA-C)

  • 300, Carson Street, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724013104

    Phone: (870) 932-1198

    Fax: (870) 910-7700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 289 Open Payments records for all available years, with a total value of $5,792.

Total Amount is formed as General ($5,792) + Research ($0) + Ownership ($0) = $5,792.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($570).

Total Amount

$5,792

General + Research + Ownership

Payments

289

Total payment records

General Amount

$5,792

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-04-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160411000870IPhysician AssistantARTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6052$0
99215Established patient office or other outpatient visit, 40-54 minutes5933$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 72401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769637222View full group profile
NameSpecialtyState
Radiation OncologyAR
H E M A T O L O G YAR
Gynecological Oncology, Obstetrics/GynecologyTN
-TN
-AR
Nurse PractitionerAR
Nurse PractitionerAR
Radiation OncologyAR
Nurse PractitionerAR
H E M A T O L O G Y/ O N C O L O G YAR

Reviews

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Frequently asked questions

Can I cross-check CALLIE POOLE (PA-C) using NPI 1225498074?
NPI 1225498074 belongs to CALLIE POOLE (PA-C); compare other details if you need extra assurance.
Is CALLIE POOLE (PA-C) still an active registrant?
CALLIE POOLE (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to CALLIE POOLE (PA-C)?
CALLIE POOLE (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with CALLIE POOLE (PA-C)?
Directory geography for CALLIE POOLE (PA-C) centers on Jonesboro, Arkansas.
Does CALLIE POOLE (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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