TARA CALLISON (PA) – Physician Assistant, NPI 1639577547

TARA CALLISON (PA) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1870 (NE). The NPI Number for TARA CALLISON (PA) is 1639577547

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TARA CALLISON (PA)
NPI
1639577547
Phone
Not provided
Address
988102 NEBRASKA MEDICAL CTR
Enumeration Date
9 December 2014
Last Update Date
27 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4023362611
Graduation Year
2014 (12 years ago)
PAC ID
9032434998
Group Practice PAC ID
4486548203
Professional Enrollment ID
I20150217001736
Address ID
NE687631514ON300XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for TARA CALLISON (PA)

  • 988102 NEBRASKA MEDICAL CTR

    OMAHA, NE 681988102

    Phone:

    Type: Mailing

  • 139 S 40TH ST

    OMAHA, NE 68131

    Phone: (402) 595-3939

    Fax: (402) 595-3898

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-12-08 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($18).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-08

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: 2015-02-17

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
I20150217001736IPhysician AssistantNETBD

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 68198)

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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: 4486548203View full group profile
NameSpecialtyState
Internal MedicineNE
Physician AssistantNE
Family PracticeNE
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerNE
Nurse PractitionerNE
Family PracticeNE
-NE
General SurgeryNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

Where can patients find TARA CALLISON (PA)'s NPI?
You can confirm TARA CALLISON (PA) with NPI 1639577547; it appears in the national provider directory.
Is TARA CALLISON (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is TARA CALLISON (PA)?
The page reflects Physician Assistant for TARA CALLISON (PA). Clinical services aligned with this taxonomy classification.
Does TARA CALLISON (PA) practice in Nebraska?
You will see Omaha, Nebraska on file for TARA CALLISON (PA) alongside any extra practice locations.
How can I contact TARA CALLISON (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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