TIA M CALLAHAN – Certified Registered Nurse Anesthetist, NPI 1407930597

TIA M CALLAHAN is a healthcare provider. based in Wilkes barre, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN514776L (PA). The NPI Number for TIA M CALLAHAN is 1407930597

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
TIA M CALLAHAN
NPI
1407930597
Phone
(570) 829-8111
Address
575 N RIVER ST
Enumeration Date
25 October 2006
Last Update Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8772044155
Graduation Year
2006 (20 years ago)
PAC ID
2567461551
Group Practice PAC ID
2365418241
Professional Enrollment ID
I20061221000183
Address ID
PA169478115TR275XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

Provider Addresses for TIA M CALLAHAN

  • Wilkes-Barre General Hospital, 575, North River Street, North End, Wilkes-Barre, Luzerne County, Pennsylvania, 18764, United States

    WILKES BARRE, PA 187022634

    Phone: (570) 829-8111

    Type: Mailing

  • 100 N ACADEMY AVE

    DANVILLE, PA 178229800

    Phone: (570) 271-6144

    Type: Mailing

  • 575 N River St

    Wilkes Barre, PA 187022634

    Phone: (570) 829-8111

    Type: Location

  • 100 NORTH ACADEMY AVE

    DANVILLE, PA 178229800

    Phone: (570) 271-6621

    Fax: (570) 271-6762

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: SI-BONE, INC. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SI-BONE, INC.$24
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: 2006-12-21

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
I20061221000183ICertified Registered Nurse Anesthetist (Crna)PATBD

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
00142Anesthesia for lens surgery196170$0
01402Anesthesia for procedure for total knee joint replacement1313$0
View full utilization report →

Insurance plans in this area (ZIP 18702)

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Provider's Procedures

TIA M CALLAHAN performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETPA00790Anesthesia for procedure in upper abdomen including use of an endoscope1616

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: 2365418241View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
-PA
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YPA
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
-FL
-PA

Reviews

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Frequently asked questions

What is TIA M CALLAHAN's NPI number?
TIA M CALLAHAN's NPI is 1407930597 — the number used across U.S. healthcare to identify this provider.
Is TIA M CALLAHAN still an active registrant?
TIA M CALLAHAN carries an active NPI according to the public dataset.
What area of care is associated with TIA M CALLAHAN?
TIA M CALLAHAN's record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is TIA M CALLAHAN registered?
Use Wilkes Barre, Pennsylvania as the headline location for TIA M CALLAHAN here.
Does TIA M CALLAHAN accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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