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KIMBERLY RAE WARREN MSN, APRN, AGPCNP-BC
NPI 1104505460
Nurse Practitioner - Adult Health in Vidalia, GA

Active since July 14, 2023PECOS EnrolledAccepts Medicare Assignment
2203 GA HIGHWAY 130 W, VIDALIA, GA 30474(912) 245-5491 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Rae Warren Msn, Aprn, Agpcnp-bc NPPES

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

KIMBERLY RAE WARREN MSN, APRN, AGPCNP-BC (NPI 1104505460) is an individual adult health provider in Vidalia, Georgia, licensed in Georgia (RN269449) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Candler County Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104505460
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKIMBERLY RAE WARRENCredential: MSN, APRN, AGPCNP-BC
Location Address2203 GA HIGHWAY 130 WVidalia, GA 30474-5555
Mailing Address2203 Ga Highway 130 WVidalia, GA 30474-5555 · (912) 245-5491
Phone(912) 245-5491
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
✔ NPI 1104505460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN269449
2203 GA HIGHWAY 130 W, Vidalia, GA 30474
Open in Google Maps ↗

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

Kimberly Rae Warren Msn, Aprn, Agpcnp-bc 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 ID8123460367
PECOS Enrollment IDI20240520003287
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

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

Candler County Hospital

Critical Access Hospitals · Metter, GA
OwnershipProprietary
CMS Certification Number111334
Location400 Cedar StreetMetter, GA 30439 · Candler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 Kimberly Warren's NPI number?

The NPI number for Kimberly Warren is 1104505460. It was assigned to this individual provider in the NPPES registry on July 14, 2023.

Where is Kimberly Warren located?

Kimberly Warren practices at 2203 Ga Highway 130 W, Vidalia, GA 30474. The listed phone number is (912) 245-5491.

What is Kimberly Warren's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kimberly Warren enrolled in Medicare?

Yes. Kimberly 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.

Is Kimberly Warren affiliated with any hospitals?

According to CMS data, Kimberly Warren is affiliated with Candler County Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Warren was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.