Mrs Kristie Callahan, FNP-C - Medicare Nurse Practitioner in Jackson, MS

Mrs Kristie Callahan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jackson, Mississippi. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Dominic Medical Associates Llc and her current practice location is 971 Lakeland Dr, Suite 557, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 200-4560.

Mrs Kristie Callahan is licensed to practice in Mississippi (license number R881587) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093129231.

Contact Information

Mrs Kristie Callahan, FNP-C
971 Lakeland Dr, Suite 557,
Jackson, MS 39216-4643
(601) 200-4560
(601) 326-4632

Map and Direction




Provider's Profile

Full NameMrs Kristie Callahan
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location971 Lakeland Dr, Jackson, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kristie Callahan graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1093129231
  • Provider Enumeration Date: 06/16/2014
  • Last Update Date: 06/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2769794528
  • Enrollment ID: I20150708000180

Medical Identifiers

Medical identifiers for Mrs Kristie Callahan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093129231NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R881587 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Dominic-jackson Memorial HospitalJackson, MSHospital
Mississippi Methodist Rehab CtrJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Dominic Medical Associates Llc0446303168154

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kristie Callahan allows following entities to bill medicare on her behalf.
Entity NameSt. Dominic Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407920549
PECOS PAC ID: 0446303168
Enrollment ID: O20090728000821

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kristie Callahan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kristie Callahan, FNP-C
Po Box 23666,
Jackson, MS 39225-3666

Ph: (601) 200-4749
Mrs Kristie Callahan, FNP-C
971 Lakeland Dr, Suite 557,
Jackson, MS 39216-4643

Ph: (601) 200-4560

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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