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RENAE CALLAHAN
NPI 1164016408
Nurse Practitioner in Morton, IL

Active since February 26, 2021Opted out of Medicare · through May 13, 2027
104 E QUEENWOOD RD STE 202, MORTON, IL 61550(309) 621-9580 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renae Callahan NPPES

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

RENAE CALLAHAN (NPI 1164016408) is an individual nurse practitioner in Morton, Illinois, licensed in Illinois (209021136) and active in the NPI registry since February 2021. She has opted out of Medicare through May 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164016408
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRENAE CALLAHAN
Location Address104 E QUEENWOOD RD STE 202Morton, IL 61550-2962
Mailing Address3820 Camden CirChillicothe, IL 61523-9490 · (309) 472-0133
Phone(309) 621-9580
Sole ProprietorNo
Enumeration DateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
✔ NPI 1164016408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209021136
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
104 E QUEENWOOD RD STE 202, Morton, IL 61550
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Renae Callahan has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2021 through May 13, 2027.

Opt-Out Effective DateMay 13, 2021
Opt-Out In Effect ThroughMay 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61550 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 2

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

SARAH WHITE APN, FNP-C
Family Medicine
104 E QUEENWOOD RD STE 202
MORTON, IL 61550
Tazewell County (309) 621-9580
ROBERTA VAN ZANT DO
Family Medicine
104 E QUEENWOOD RD STE 202
MORTON, IL 61550
Tazewell County (309) 621-9580

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 Renae Callahan's NPI number?

The NPI number for Renae Callahan is 1164016408. It was assigned to this individual provider in the NPPES registry on February 26, 2021.

Where is Renae Callahan located?

Renae Callahan practices at 104 E Queenwood Rd Ste 202, Morton, IL 61550. The listed phone number is (309) 621-9580.

What is Renae Callahan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Renae Callahan enrolled in Medicare?

No. Renae Callahan has opted out of Medicare through May 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Renae Callahan was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.