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

Individual provider Physician Assistant · NPI 1639577547

Tara Callison, PA is a Physician Assistant in Omaha, Nebraska. Qualified in 2014, 12 years ago. Practices with Avera St Anthonys Hospital, a 23-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
12
Licensed in
NE
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

139 S 40th St
Omaha, NE 68131
Phone: (402) 595-3939
Fax: (402) 595-3898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1870 (NE)

Record details

NPI number1639577547
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 9, 2014
Last updated in NPPESJune 27, 2018
Mailing address988102 Nebraska Medical Ctr, Omaha, NE 68198-8102

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Avera St Anthonys Hospital — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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