PATTY CALLISON FNP
NPI 1528509023
Nurse Practitioner - Family in Jacksonville, FL

Q: What is Patty Callison's NPI number?

The NPI number for Patty Callison is 1528509023. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Q: What is Patty Callison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patty Callison was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since March 16, 2017PECOS EnrolledAccepts Medicare Assignment

11513 N MAIN ST, JACKSONVILLE, FL 32218(855) 674-7400(904) 730-1037 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2024, Mar 16, 2017 (2 updates tracked since 2017).

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About Patty Callison Fnp NPPES

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

PATTY CALLISON FNP (NPI 1528509023) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN3262652) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528509023

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePATTY CALLISONCredential: FNP

Location Address11513 N MAIN STJacksonville, FL 32218-4002

Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774

Phone(855) 674-7400

Fax(904) 730-1037

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 16, 2017

Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1528509023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN3262652

11513 N MAIN ST, Jacksonville, FL 32218

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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

Patty Callison Fnp 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 ID345518171

PECOS Enrollment IDI20170619002369

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 32218 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

100%22 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TIFFANY B JONES

Nurse Practitioner (Family)