MRS. KRISTIE CALLAHAN (FNP-C) – Family Nurse Practitioner, NPI 1093129231

MRS. KRISTIE CALLAHAN (FNP-C) is a healthcare provider. based in Jackson, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. R881587 (MS). The NPI Number for MRS. KRISTIE CALLAHAN (FNP-C) is 1093129231

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTIE CALLAHAN (FNP-C)
NPI
1093129231
Phone
(601) 200-4749
Address
PO BOX 23666
Enumeration Date
16 June 2014
Last Update Date
17 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6012004560
Graduation Year
2014 (12 years ago)
PAC ID
2769794528
Group Practice PAC ID
0446303168
Professional Enrollment ID
I20150708000180
Address ID
MS392164661JA971XXDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,586 NURSE PRACTITIONER in MS

Provider Addresses for MRS. KRISTIE CALLAHAN (FNP-C)

  • PO BOX 23666

    JACKSON, MS 392253666

    Phone: (601) 200-4749

    Fax: (601) 200-5929

    Type: Mailing

  • 971 LAKELAND DR

    SUITE 557

    JACKSON, MS 392164643

    Phone: (601) 200-4560

    Fax: (601) 326-4632

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 252 Open Payments records for all available years, with a total value of $4,594.

Total Amount is formed as General ($4,594) + Research ($0) + Ownership ($0) = $4,594.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: PFIZER INC. ($420).

Total Amount

$4,594

General + Research + Ownership

Payments

252

Total payment records

General Amount

$4,594

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2015-07-08

PECOS data refreshed: 2026-06-15

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
I20150708000180INurse PractitionerMSTBD

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 minutes419375$0
99213Established patient office or other outpatient visit, 20-29 minutes234228$0
99204New patient office or other outpatient visit, 45-59 minutes9090$0
96372Injection of drug or substance under skin or into muscle4620$0
99203New patient office or other outpatient visit, 30-44 minutes4040$0
View full utilization report →

Insurance plans in this area (ZIP 39225)

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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: 0446303168View full group profile
NameSpecialtyState
Nurse PractitionerMS
Internal MedicineMS
-MS
N E U R O S U R G E R YMS
Internal MedicineMS
N E U R O L O G YMS
Nurse PractitionerTX
Internal MedicineMS
Thoracic SurgeryMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

What is the standard ID for MRS. KRISTIE CALLAHAN (FNP-C) in the U.S.?
In the U.S., MRS. KRISTIE CALLAHAN (FNP-C) is identified by NPI 1093129231.
Is MRS. KRISTIE CALLAHAN (FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists MRS. KRISTIE CALLAHAN (FNP-C) as active.
How should patients interpret MRS. KRISTIE CALLAHAN (FNP-C)'s specialty?
The extract shows Family Nurse Practitioner for MRS. KRISTIE CALLAHAN (FNP-C). Clinical services aligned with this taxonomy classification.
What city is tied to MRS. KRISTIE CALLAHAN (FNP-C)?
The directory associates MRS. KRISTIE CALLAHAN (FNP-C) with Jackson, Mississippi. Check all listed addresses for suites or satellite offices.
Can I export MRS. KRISTIE CALLAHAN (FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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