CALLIE PHILLIPS
NPI 1639682164
Physician Assistant in Lafayette, CA

Active since November 06, 2017PECOS EnrolledAccepts Medicare Assignment
3441 GOLDEN GATE WAY APT D, LAFAYETTE, CA 94549(925) 876-1759 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2022, Mar 20, 2018, Nov 6, 2017 (3 updates tracked since 2017).

About Callie Phillips NPPES

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

CALLIE PHILLIPS (NPI 1639682164) is an individual physician assistant in Lafayette, California, licensed in California (55351) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639682164
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCALLIE PHILLIPS
Location Address3441 GOLDEN GATE WAY APT DLafayette, CA 94549-4533
Mailing Address3441 Golden Gate Way Apt DLafayette, CA 94549-4533
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 6, 2017
Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration
NPI 1639682164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 55351
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3441 GOLDEN GATE WAY APT D, Lafayette, CA 94549

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

Callie Phillips 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 ID8123380367
PECOS Enrollment IDI20180327002957
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 94549 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Callie Phillips's NPI number?

The NPI number for Callie Phillips is 1639682164. It was assigned to this individual provider in the NPPES registry on November 6, 2017.

Where is Callie Phillips located?

Callie Phillips practices at 3441 Golden Gate Way Apt D, Lafayette, CA 94549. The listed phone number is (925) 876-1759.

What is Callie Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Callie Phillips enrolled in Medicare?

Yes. Callie Phillips 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 Callie Phillips was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.