Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelsey Callahan

Individual provider Nurse Practitioner · NPI 1770288532

Kelsey Callahan is a Nurse Practitioner in Sonora, California. Qualified in 2022, 4 years ago. Practices with Sierra Emergency Medical Group Inc, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1000 Greenley Rd
Sonora, CA 95370-5200
Phone: (951) 294-0601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95024336 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 95024336 (CA)

Record details

NPI number1770288532
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address28339 Halcyon Ct, Menifee, CA 92584-8039

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sierra Emergency Medical Group Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Sonora