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

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: November 08, 2026.

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

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
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

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Patty Callison reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
655 W 8TH ST, UFJP EMERGENCY MEDICINE
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 573 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
611 E ADAMS ST
Jacksonville, FL 32202
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
Family Medicine
6321 DANIELS PKWY
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida enrollment
  • 1,278 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.

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.

Nurse Practitioner (Family)
11513 N MAIN ST
JACKSONVILLE, FL 32218
Nurse Practitioner (Adult Health)
11513 N MAIN ST
JACKSONVILLE, FL 32218
Physician Assistant
11513 N MAIN ST
JACKSONVILLE, FL 32218
Nurse Practitioner (Family)
11513 N MAIN ST
JACKSONVILLE, FL 32218
Physician Assistant
11513 N MAIN ST
JACKSONVILLE, FL 32218
Internal Medicine (Cardiovascular Disease)
11513 N MAIN ST
JACKSONVILLE, FL 32218
Family Medicine
11513 N MAIN ST
JACKSONVILLE, FL 32218
Physician Assistant
11513 N MAIN ST
JACKSONVILLE, FL 32218

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 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.

Where is Patty Callison located?

Patty Callison practices at 11513 N Main St, Jacksonville, FL 32218. The listed phone number is (855) 674-7400.

What is Patty Callison's specialty?

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

Is Patty Callison enrolled in Medicare?

Yes. Patty Callison 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 organizations bill Medicare for Patty Callison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patty Callison reassigns Medicare benefits to 3 organizations: University Of Florida Jacksonville Physicians Inc (Jacksonville, FL), Im Sulzbacher Center For The Homeless, Inc (Jacksonville, FL) and Millennium Physician Group LLC (Fort Myers, FL). Each 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 Patty Callison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 23 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.