CALLIE ELIZABETH QUILLEN B.S. MHA
NPI 1124501101
Counselor - Professional in London, KY

Active since September 14, 2018PECOS EnrolledAccepts Medicare Assignment
915 N LAUREL RD, LONDON, KY 40741(606) 864-2104 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2024, Sep 14, 2018 (2 updates tracked since 2018).

About Callie Elizabeth Quillen B.s. Mha NPPES

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

CALLIE ELIZABETH QUILLEN B.S. MHA (NPI 1124501101) is an individual professional provider in London, Kentucky, licensed in Kentucky (296112) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124501101
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCALLIE ELIZABETH QUILLENCredential: B.S. MHA
Location Address915 N LAUREL RDLondon, KY 40741-9029
Mailing Address1865 Bacon AveCorbin, KY 40701-2356 · (606) 304-8921
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 14, 2018
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1124501101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 296112
915 N LAUREL RD, London, KY 40741

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Callie Elizabeth Quillen B.s. Mha is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183151756
PECOS Enrollment IDI20241219003673
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.

Medicare Billing Reassignment

Medicare enrollment records show Callie Quillen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
14662 N US HIGHWAY 25E
Corbin, KY 40701
  • Reassigned Medicare billing, Kentucky enrollment
  • 81 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Callie Quillen's NPI number?

The NPI number for Callie Quillen is 1124501101. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Where is Callie Quillen located?

Callie Quillen practices at 915 N Laurel Rd, London, KY 40741. The listed phone number is (606) 864-2104.

What is Callie Quillen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Callie Quillen enrolled in Medicare?

Yes. Callie Quillen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Callie Quillen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Callie Quillen reassigns Medicare benefits to Grace Community Health Center, Inc. (Corbin, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Callie Quillen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Callie Quillen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Callie Quillen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Callie Quillen was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.