Individual provider Active NPI

Debbie Ann McCallister, MD

  • Family Medicine Physician
  • Federal Way, WA
National Provider Identifier
1487673885
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00039536 Issued in WA
Practice address
31675 Pacific Hwy S
Federal Way, WA 98003-5407
Phone
(253) 215-1093
Fax
(253) 215-1094
NPI assigned
Jul 18, 2006
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00039536 WA Primary

Addresses

Primary practice location

31675 Pacific Hwy S
Federal Way, WA 98003-5407

Mailing address

31675 Pacific Hwy S
Federal Way, WA 98003-5407
Phone (253) 215-1093

Other practice location 1

225 176th St S
Spanaway, WA 98387-9201
Phone (253) 459-7777

Other identifiers 2

IdentifierTypeStateIssuer
356095OtherWALABOR & INDUSTRIES
1011550MedicaidWA

Other names 1

  • Debbie Ann Brown Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmccallister175335@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000452 WA Practitioner - Family Practice 7810942976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
North Carolina Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

31675 Pacific Hwy S
Federal Way, WA 98003-5407
Phone (253) 215-1093

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Feb 8, 2016 Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Feb 8, 2016 Accepting new patients
Peninsula Community Health Services Family Medicine Past Accepting new patients

Locations

9230 Sky Island Dr E
Fl 1
Bonney Lake, WA 98391
Phone (253) 750-6000

31675 Pacific Hwy S
Federal Way, WA 98003
Phone (253) 215-1093

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

3556 Market Pl W
Ste 109
University Place, WA 98466
Phone (253) 215-1095

Organizations & group practices 3

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 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1487673885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31675 PACIFIC HWY S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035407",
            "telephone_number": "253-215-1093",
            "fax_number": "253-215-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31675 PACIFIC HWY S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035407",
            "telephone_number": "253-215-1093",
            "fax_number": "253-215-1094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 176th St S",
            "address_purpose": "LOCATION",
            "city": "Spanaway",
            "state": "WA",
            "postal_code": "983879201",
            "country_code": "US",
            "telephone_number": "253-459-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALLISTER",
        "first_name": "DEBBIE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00039536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "356095",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011550",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmccallister175335@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "31675 Pacific Hwy S",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980035407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "BROWN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.