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DR. ANDREW K WARREN DC
NPI 1043780307
Chiropractor in Saint Augustine, FL

Active since November 29, 2018Accepts Medicare Assignment
1000 PLANTATION ISLAND DR S STE 9, SAINT AUGUSTINE, FL 32080(904) 217-0715(904) 217-0746 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2020, Nov 29, 2018 (2 updates tracked since 2018).

About Dr. Andrew K Warren Dc NPPES

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

DR. ANDREW K WARREN DC (NPI 1043780307) is an individual chiropractor in Saint Augustine, Florida, licensed in Florida (12638) and active in the NPI registry since November 2018. He is a graduate of Palmer College Chiropractic - Davenport (2018).

NPPES Registry Identity

NPI1043780307
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANDREW K WARRENCredential: DC
Location Address1000 PLANTATION ISLAND DR S STE 9Saint Augustine, FL 32080-3106
Mailing Address411 Jasmine RdSaint Augustine, FL 32086-6437 · (240) 298-3241
Phone(904) 217-0715
Fax(904) 217-0746
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2018
Enumeration DateNovember 29, 2018
Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2020
✔ NPI 1043780307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 12638
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1000 PLANTATION ISLAND DR S STE 9, Saint Augustine, FL 32080
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew K Warren Dc 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 ID5799104725
PECOS Enrollment IDI20200924002236

Medicare Billing Reassignment

Medicare enrollment records show Andrew Warren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Changing Tides Chiropractic And Wellness LLC
Same address
Chiropractor
1000 PLANTATION ISLAND DR S STE 9
Saint Augustine, FL 32080
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1184279382 (904) 217-0715

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
446 services49 patients

Other Providers at the Same Location NPPES 6

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

GARY E MORALES GERALDINO M. D.
General Practice
1000 PLANTATION ISLAND DR S STE 9
ST AUGUSTINE, FL 32080
St. Johns County (904) 460-9191
MR. JAWAD SAMIR FARHAT MD
Internal Medicine
1000 PLANTATION ISLAND DR S STE 9
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 460-9191
CHANGING TIDES CHIROPRACTIC AND WELLNESS LLC
Chiropractor
1000 PLANTATION ISLAND DR S STE 9
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 217-0715
CHANGING TIDES CHIROPRACTIC & WELLNESS, LLC.
Chiropractor
1000 PLANTATION ISLAND DR S STE 9
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 217-0715
SEVANISTA D MCKEE APRN
Nurse Practitioner (Family)
1000 PLANTATION ISLAND DR S STE 9
ST AUGUSTINE, FL 32080
St. Johns County (904) 460-9191
SAINT AUGUSTINE HOSPITALISTS PRIMARY CARE
Internal Medicine
1000 PLANTATION ISLAND DR S STE 9
ST AUGUSTINE, FL 32080
St. Johns County (904) 460-9191

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 Andrew Warren's NPI number?

The NPI number for Andrew Warren is 1043780307. It was assigned to this individual provider in the NPPES registry on November 29, 2018.

Where is Andrew Warren located?

Andrew Warren practices at 1000 Plantation Island Dr S Ste 9, Saint Augustine, FL 32080. The listed phone number is (904) 217-0715.

What is Andrew Warren's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Andrew Warren enrolled in Medicare?

Yes. Andrew Warren 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.

Which organization bills Medicare for Andrew Warren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Warren reassigns Medicare benefits to Changing Tides Chiropractic And Wellness LLC (Saint Augustine, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Warren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Warren was last updated on September 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.