CALLIE ANN HART – Physician Assistant, NPI 1104458942

CALLIE ANN HART is a healthcare provider. based in Mt pleasant, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5315222249 (MI). The NPI Number for CALLIE ANN HART is 1104458942

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CALLIE ANN HART
NPI
1104458942
Phone
Not provided
Address
1280 E CAMPUS DR
Enumeration Date
10 February 2020
Last Update Date
10 January 2021

Doctor Profile

Medical School Name
CENTRAL MICHIGAN COLLEGE OF MEDICINE
Secondary Phone
5173321200
Graduation Year
2020 (6 years ago)
PAC ID
8325443096
Group Practice PAC ID
9739143991
Professional Enrollment ID
I20210818000908
Address ID
MI488237396EA1650XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for CALLIE ANN HART

  • 1280 E CAMPUS DR

    MT PLEASANT, MI 488592033

    Phone:

    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 235 Open Payments records for all available years, with a total value of $4,058.

Total Amount is formed as General ($4,058) + Research ($0) + Ownership ($0) = $4,058.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($997).

Total Amount

$4,058

General + Research + Ownership

Payments

235

Total payment records

General Amount

$4,058

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2021-08-18

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
I20210818000908IPhysician AssistantMITBD

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 minutes151102$0
99213Established patient office or other outpatient visit, 20-29 minutes9480$0
99204New patient office or other outpatient visit, 45-59 minutes2525$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1511$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 48859)

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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: 9739143991View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMI
P A T H O L O G YMI
G A S T R O E N T E R O L O G YIN
Gastroenterology, Internal MedicineMI
G A S T R O E N T E R O L O G YMI
Physician AssistantMI
Gastroenterology, Internal MedicineMI
G A S T R O E N T E R O L O G YMI
Nurse PractitionerMI
G A S T R O E N T E R O L O G YMI

Reviews

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Frequently asked questions

How is CALLIE ANN HART identified in CMS data?
CMS-hosted NPPES data lists CALLIE ANN HART with NPI 1104458942.
Does the file indicate CALLIE ANN HART is practicing under active NPI?
Directory data currently reports CALLIE ANN HART as active.
What is CALLIE ANN HART best known for clinically?
Directory data describes CALLIE ANN HART with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does CALLIE ANN HART serve?
CALLIE ANN HART's listing highlights Mt Pleasant, Michigan; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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