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CALLIE ANN HATHORN FNP-BC, ACNPC-AG
NPI 1750113312
Nurse Practitioner - Family in Shreveport, LA

Active since August 14, 2024PECOS EnrolledAccepts Medicare Assignment
2551 GREENWOOD RD STE 140, SHREVEPORT, LA 71103(318) 212-8899 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2025, Aug 14, 2024 (2 updates tracked since 2024).

About Callie Ann Hathorn Fnp-bc, Acnpc-ag NPPES

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

CALLIE ANN HATHORN FNP-BC, ACNPC-AG (NPI 1750113312) is an individual family provider in Shreveport, Louisiana, licensed in Louisiana (236634) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750113312
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCALLIE ANN HATHORNCredential: FNP-BC, ACNPC-AG
Location Address2551 GREENWOOD RD STE 140Shreveport, LA 71103-3984
Mailing Address2551 Greenwood Rd Ste 140Shreveport, LA 71103-3984 · (318) 212-8899
Phone(318) 212-8899
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 14, 2024
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1750113312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · 236634
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 236634 (LA)
2551 GREENWOOD RD STE 140, Shreveport, LA 71103
Open in Google Maps ↗

Other Names 1

Former Name (1)Callie Ann Parker

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

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 Ann Hathorn Fnp-bc, Acnpc-ag 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 ID3577004225
PECOS Enrollment IDI20240920002180
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Ochsner Lsu Health Shreveport-St Mary Medical Cent

Acute Care Hospitals · Shreveport, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190317
Location911 Margaret PlaceShreveport, LA 71101 · Caddo County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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 Hathorn's NPI number?

The NPI number for Callie Hathorn is 1750113312. It was assigned to this individual provider in the NPPES registry on August 14, 2024. The provider is also known as Callie Ann Parker.

Where is Callie Hathorn located?

Callie Hathorn practices at 2551 Greenwood Rd Ste 140, Shreveport, LA 71103. The listed phone number is (318) 212-8899.

What is Callie Hathorn's specialty?

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

Is Callie Hathorn enrolled in Medicare?

Yes. Callie Hathorn 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.

What insurance does Callie Hathorn accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Callie Hathorn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Callie Hathorn affiliated with any hospitals?

According to CMS data, Callie Hathorn is affiliated with Willis Knighton Medical Center and Ochsner Lsu Health Shreveport-St Mary Medical Cent.

When was this NPI record last updated?

The NPPES record for Callie Hathorn was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.