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

CRAIG F CALLAM APRN, FNP-BC
NPI 1538799747
Nurse Practitioner - Family in Banning, CA

Active since January 16, 2020PECOS Enrolled
11555 1/2 POTRERO RD, BANNING, CA 92220(951) 849-4761(951) 849-4651 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Jul 28, 2024, Jun 17, 2024 and 8 more (11 updates tracked since 2020).

About Craig F Callam Aprn, Fnp-bc NPPES

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

CRAIG F CALLAM APRN, FNP-BC (NPI 1538799747) is an individual family provider in Banning, California, licensed in California (95239375) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538799747
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCRAIG F CALLAMCredential: APRN, FNP-BC
Location Address11555 1/2 POTRERO RDBanning, CA 92220-6946
Mailing Address11980 Mount Vernon AveGrand Terrace, CA 92313-5172 · (909) 864-1097 · Fax (512) 256-8799
Fax(951) 849-4651
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 16, 2020
Last NPPES UpdateJuly 14, 202611 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1538799747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 95239375 Licensed in FL · APRN11006675
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9365661 (FL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11006675 (FL)
11555 1/2 POTRERO RD, Banning, CA 92220

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

Craig F Callam Aprn, Fnp-bc 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 ID2365872561
PECOS Enrollment IDI20200430000005, I20240628001775
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 92220 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 20

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

Psychologist (Health Service)
11555 1/2 POTRERO RD
BANNING, CA 92220
Family Medicine
11555 1/2 POTRERO RD
BANNING, CA 92220
Driver
11555 1/2 POTRERO RD
BANNING, CA 92220
Optometrist
11555 1/2 POTRERO RD
BANNING, CA 92220
Social Worker (Clinical)
11555 1/2 POTRERO RD
BANNING, CA 92220
Registered Nurse
11555 1/2 POTRERO RD
BANNING, CA 92220
Family Medicine
11555 1/2 POTRERO RD
BANNING, CA 92220
Clinic/Center (Federally Qualified Health Center (FQHC))
11555 1/2 POTRERO RD
BANNING, CA 92220

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 Craig Callam's NPI number?

The NPI number for Craig Callam is 1538799747. It was assigned to this individual provider in the NPPES registry on January 16, 2020.

Where is Craig Callam located?

Craig Callam practices at 11555 1/2 Potrero Rd, Banning, CA 92220. The listed phone number is (951) 849-4761.

What is Craig Callam's specialty?

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

Is Craig Callam enrolled in Medicare?

Yes. Craig Callam 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.

When was this NPI record last updated?

The NPPES record for Craig Callam 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 33 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.