Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CALLISSA G WILKERSON NP-C
NPI 1144786229
Nurse Practitioner - Family in Laurel, MS

Active since February 14, 2019PECOS Enrolled
9.2/100
CMS Quality Rating
1706 W 12TH ST, LAUREL, MS 39440(601) 369-2028(601) 649-7805 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Apr 6, 2026, Aug 6, 2021 and 3 more (6 updates tracked since 2019).

About Callissa G Wilkerson Np-c NPPES

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

CALLISSA G WILKERSON NP-C (NPI 1144786229) is an individual family provider in Laurel, Mississippi, licensed in Mississippi (903129) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Laurel, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1144786229
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCALLISSA G WILKERSONCredential: NP-C
Location Address1706 W 12TH STLaurel, MS 39440-2559
Mailing Address1706 W 12th StLaurel, MS 39440-2559 · (601) 369-2028 · Fax (601) 649-7805
Fax(601) 649-7805
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 14, 2019
Last NPPES UpdateJuly 14, 20266 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1144786229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MS · 903129 Licensed in TX · 1217447 Licensed in CT · 015362
Also ListedFamily MedicineTaxonomy 207Q00000X · License 903129 (MS)
1706 W 12TH ST, Laurel, MS 39440

Other Names 1

Former Name (1)Callissa Ladner

Secondary Practice Location 1

Location 1601 N 15th AveLaurel, MS 39440-3839 · Phone (601) 651-6362 · Fax (866) 517-9628

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Callissa G Wilkerson Np-c 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 ID1850624511
PECOS Enrollment IDI20260128002074, I20260227003066
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
629 services266 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
500 services327 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
412 services247 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39440 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

9.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost30.68

Other Providers at the Same Location NPPES 7

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

Pain Medicine (Pain Medicine)
1706 W 12TH ST
LAUREL, MS 39440
Nurse Practitioner (Family)
1706 W 12TH ST
LAUREL, MS 39440
Nurse Practitioner (Family)
1706 W 12TH ST
LAUREL, MS 39440
Nurse Practitioner
1706 W 12TH ST
LAUREL, MS 39440
Nurse Practitioner (Family)
1706 W 12TH ST
LAUREL, MS 39440
Pain Medicine (Interventional Pain Medicine)
1706 W 12TH ST
LAUREL, MS 39440
Nurse Practitioner (Family)
1706 W 12TH ST
LAUREL, MS 39440

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 Callissa Wilkerson's NPI number?

The NPI number for Callissa Wilkerson is 1144786229. It was assigned to this individual provider in the NPPES registry on February 14, 2019. The provider is also known as Callissa Ladner.

Where is Callissa Wilkerson located?

Callissa Wilkerson practices at 1706 W 12th St, Laurel, MS 39440. The listed phone number is (601) 369-2028.

What is Callissa Wilkerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Callissa Wilkerson enrolled in Medicare?

Yes. Callissa Wilkerson 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.

What insurance does Callissa Wilkerson accept?

Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Callissa Wilkerson 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 Callissa Wilkerson was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.