Individual provider Active NPI

Anna Nichole Callon, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hutchinson, KS
National Provider Identifier
1790474013
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-82141-082 Issued in KS
Practice address
1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600
Phone
(620) 663-7595
NPI assigned
May 3, 2023
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-82141-082 KS Primary

Addresses

Primary practice location

1600 N Lorraine St Ste 202
Hutchinson, KS 67501-5600

Mailing address

1901 E 1St St
Newton, KS 67114-5010
Phone (316) 284-6400

Other practice location 1

1901 E 1st St
Newton, KS 67114-5010
Phone (316) 284-6400 ext. 6386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240318002450 KS Practitioner - Nurse Practitioner 2163869819 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 E 23Rd Ave
Hutchinson, KS 67502-1105

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-82141-082KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Mental Health Center, Inc. CurrentSince Aug 4, 2024 Accepting new patients
Prairie View, Inc. CurrentSince Feb 3, 2024 Accepting new patients
Hutchinson Regional Medical Center, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Hutchinson Regional Medical Center, Inc. Current Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients
Horizons Mental Health Center, Inc. PastSince Aug 4, 2024 Accepting new patients

Locations

1600 N Lorraine St
Ste 202
Hutchinson, KS 67501
Phone (620) 663-7595

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

102 S Main St
Medicine Lodge, KS 67104
Phone (620) 886-5057

1901 E 1st St
Newton, KS 67114
Phone (316) 284-6400

Organizations & group practices 6

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 1

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": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1790474013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E 1ST ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145010",
            "telephone_number": "316-284-6400",
            "fax_number": "316-284-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N LORRAINE ST STE 202",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015600",
            "telephone_number": "620-663-7595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671145010",
            "country_code": "US",
            "telephone_number": "316-284-6400 x6386",
            "fax_number": "316-284-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLON",
        "first_name": "ANNA",
        "middle_name": "NICHOLE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-82141-082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.