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KORNNISA MCCALLON FNP
NPI 1861182115
Nurse Practitioner - Family in Apple Valley, CA

Active since May 10, 2023PECOS Enrolled
16167 SISKIYOU RD STE A, APPLE VALLEY, CA 92307(760) 242-2146 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2025, Mar 6, 2025, May 10, 2023 (3 updates tracked since 2023).

About Kornnisa Mccallon Fnp NPPES

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

KORNNISA MCCALLON FNP (NPI 1861182115) is an individual family provider in Apple Valley, California, licensed in California (95023549) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861182115
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKORNNISA MCCALLONCredential: FNP
Location Address16167 SISKIYOU RD STE AApple Valley, CA 92307-0837
Mailing AddressPo Box 1032Helendale, CA 92342-1032 · (442) 319-9630
Phone(760) 242-2146
Sole ProprietorYes
Enumeration DateMay 10, 2023
Last NPPES UpdateMarch 14, 20253 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1861182115 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
License✔ Licensed in CA · 95023549
Also ListedObstetrics & Gynecology · Gynecologic OncologyTaxonomy 207VX0201X · License 95023549 (CA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95023549 (CA)
16167 SISKIYOU RD STE A, Apple Valley, CA 92307
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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 (PECOS)

Kornnisa Mccallon Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92307 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

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

GURLEEN TOOR NP
Obstetrics & Gynecology
16167 SISKIYOU RD STE A
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-2146

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 Kornnisa Mccallon's NPI number?

The NPI number for Kornnisa Mccallon is 1861182115. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Kornnisa Mccallon located?

Kornnisa Mccallon practices at 16167 Siskiyou Rd Ste A, Apple Valley, CA 92307. The listed phone number is (760) 242-2146.

What is Kornnisa Mccallon's specialty?

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

Is Kornnisa Mccallon enrolled in Medicare?

Yes. Kornnisa Mccallon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kornnisa Mccallon was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.