Individual provider Active NPI

Callie M Callahan, APRN

  • Adult Health Nurse Practitioner
  • Osawatomie, KS
National Provider Identifier
1144565433
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
53-75761-021 Issued in KS
Practice address
1615 Parker Ave
Osawatomie, KS 66064-1703
Phone
(913) 660-1616
NPI assigned
Nov 28, 2012
Last updated
Apr 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2013001553 MO
Adult Health Nurse Practitioner 363LA2200X 53-75761-021 KS Primary

Addresses

Primary practice location

1615 Parker Ave
Osawatomie, KS 66064-1703

Mailing address

36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone (913) 660-1616

Other practice location 1

10540 Marty St
Suite 100
Overland Park, KS 66212-2551
Phone (913) 660-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130122000038 KS Practitioner - Nurse Practitioner 6305099557 Reassigns benefits to 4 organizations
I20130827000435 MO Practitioner - Nurse Practitioner 6305099557 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Ipc Pac Healthcare Services of Missouri IncGroup PAC ID 4587950589, 16 clinicians
Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Practice addresses (Care Compare)

103 Bernard Dr
Belton, MO 64012-6182
Phone (816) 322-8444

12724 State Line Rd
Leawood, KS 66209-1619
Phone (913) 800-5561

14430 Metcalf Ave
Overland Park, KS 66223-2989
Phone (913) 897-1414

1600 E Rollins St
Moberly, MO 65270-2478
Phone (660) 263-6887

17500 W 119TH St
Olathe, KS 66061-9524
Phone (913) 213-1686

2727 N Rock Rd
Larksfield Place
Wichita, KS 67226-1142
Phone (316) 636-1000

625 N Lincoln St
Olathe, KS 66061-2501
Phone (913) 829-6920

719 N Klein Cir
Derby, KS 67037-7019
Phone (316) 260-4447

751 N Somerset Ter
Olathe, KS 66062-5450
Phone (913) 297-2447

791 N Somerset Ter
Olathe, KS 66062-5450
Phone (913) 829-1403

8710 Caenen Lake Rd
Lenexa, KS 66215-2069
Phone (913) 894-6979

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-75761-021KSMDAdult Health Nurse Practitioner
2013001553MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Post Acute Medical Services 1 PA CurrentSince Aug 1, 2017 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Nov 18, 2015 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

1615 Parker Ave
Osawatomie, KS 66064
Phone (913) 755-4165

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

251 E Wilson St
Spring Hill, KS 66083
Phone (913) 592-3100

6301 E 125th St
Grandview, MO 64030
Phone (816) 765-7714

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089

1210 W Ashland St
Nevada, MO 64772
Phone (417) 667-5064

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1144565433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36123 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501216",
            "telephone_number": "913-660-1616",
            "fax_number": "913-660-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PARKER AVE",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660641703",
            "telephone_number": "913-660-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10540 Marty St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662122551",
            "country_code": "US",
            "telephone_number": "913-660-1616",
            "fax_number": "913-660-1664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "CALLIE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2013001553",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-75761-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osawatomie, KS

Sources for this page

Verify at the official NPI Registry.