MRS. KATIE CALLAWAY NP
NPI 1033693916
Nurse Practitioner - Pediatrics in Detroit, MI

Q: What is Katie Callaway's NPI number?

The NPI number for Katie Callaway is 1033693916. It was assigned to this individual provider in the NPPES registry on September 18, 2018. The provider is also known as Katie Spade.

Q: What is Katie Callaway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Katie Callaway was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 18, 2018PECOS Enrolled

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5260 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Katie Callaway Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KATIE CALLAWAY NP (NPI 1033693916) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4704297094) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033693916

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. KATIE CALLAWAYCredential: NP

Location Address3901 BEAUBIEN STDetroit, MI 48201-2119

Mailing Address3901 Beaubien StDetroit, MI 48201-2119 · (313) 745-5260

Phone(313) 745-5260

Sole ProprietorNo

Enumeration DateSeptember 18, 2018

✔ NPI 1033693916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MI · 4704297094

3901 BEAUBIEN ST, Detroit, MI 48201

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Other Names 1

Former Name (1)Katie Spade

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katie Callaway Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)