KATIE CALLIS (NP) – Family Nurse Practitioner, NPI 1639736770

KATIE CALLIS (NP) is a healthcare provider. based in San diego, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2018023212 (MO). The NPI Number for KATIE CALLIS (NP) is 1639736770

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KATIE CALLIS (NP)
NPI
1639736770
Phone
(636) 232-7999
Address
1240 INDIA ST UNIT 1401
Enumeration Date
23 May 2019
Last Update Date
18 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148926565
Graduation Year
2018 (8 years ago)
PAC ID
3779814256
Group Practice PAC ID
2365599925
Professional Enrollment ID
I20221119000289
Address ID
MO631283287SA12700RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for KATIE CALLIS (NP)

  • 1240 INDIA ST UNIT 1401

    SAN DIEGO, CA 921018552

    Phone: (636) 232-7999

    Type: Mailing

  • 4829 CLAIREMONT DR

    SAN DIEGO, CA 921172706

    Phone: (858) 273-5300

    Type: Location

  • 4930 GOSFORD RD APT 226

    BAKERSFIELD, CA 933136108

    Phone:

    Type: Mailing

  • 6001 TRUXTUN AVE UNIT 160

    BAKERSFIELD, CA 933090679

    Phone: (661) 588-4001

    Type: Location

  • 676 GRAVOIS BLUFFS BLVD STE A1

    FENTON, MO 630267742

    Phone: (636) 492-2245

    Type: Mailing

  • 12700 SOUTHFORK RD STE 280

    SAINT LOUIS, MO 631283287

    Phone: (314) 892-6565

    Fax: (314) 892-4828

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,666.

Total Amount is formed as General ($1,666) + Research ($0) + Ownership ($0) = $1,666.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Amgen Inc. ($768).

Total Amount

$1,666

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,666

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-11-19

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
I20221119000289INurse PractitionerMOTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes11696$0
99214Established patient office or other outpatient visit, 30-39 minutes7157$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 92101)

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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: 2365599925View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOR
Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Critical Care (Intensivists), Pulmonary DiseaseKY
Pediatric MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
Internal MedicineMO

Reviews

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Frequently asked questions

Where can patients find KATIE CALLIS (NP)'s NPI?
You can confirm KATIE CALLIS (NP) with NPI 1639736770; it appears in the national provider directory.
Is KATIE CALLIS (NP) active in the national directory?
KATIE CALLIS (NP)'s public NPI profile is in an active state.
Can you summarize KATIE CALLIS (NP)'s specialty in plain language?
Clinically, the directory lists KATIE CALLIS (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KATIE CALLIS (NP)'s primary listing?
We display San Diego, California because that is what the record indicates for KATIE CALLIS (NP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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