MICHELE L CALLAHAN (NP) – Family Nurse Practitioner, NPI 1609839430

MICHELE L CALLAHAN (NP) is a healthcare provider. based in Carthage, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2001008786 (MO). The NPI Number for MICHELE L CALLAHAN (NP) is 1609839430

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MICHELE L CALLAHAN (NP)
NPI
1609839430
Phone
(417) 359-8646
Address
433 S GARRISON
Enumeration Date
11 April 2006
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4173598646
Graduation Year
1999 (27 years ago)
PAC ID
8022025238
Group Practice PAC ID
5698773539
Professional Enrollment ID
I20071218000178
Address ID
MO648361749CA433XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for MICHELE L CALLAHAN (NP)

  • 433, South Garrison Avenue, Carthage, Jasper County, Missouri, 64836, United States

    CARTHAGE, MO 648365215

    Phone: (417) 359-8646

    Fax: (417) 359-8344

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-12-18

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
I20071218000178INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64836)

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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: 5698773539View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
P O D I A T R YMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerAR
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is MICHELE L CALLAHAN (NP) listed with a National Provider Identifier?
Yes — MICHELE L CALLAHAN (NP) has NPI 1609839430 on file in the registry.
Active or inactive — what applies to MICHELE L CALLAHAN (NP)?
You should see MICHELE L CALLAHAN (NP) as active in CMS-hosted NPPES data.
What expertise is attributed to MICHELE L CALLAHAN (NP)?
MICHELE L CALLAHAN (NP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHELE L CALLAHAN (NP)?
Travel planning: use Carthage, Missouri as the reference point for MICHELE L CALLAHAN (NP), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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