KIMBERLY RAE WARREN MSN, APRN, AGPCNP-BC
NPI 1104505460
Nurse Practitioner - Adult Health in Vidalia, GA
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
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Warren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vidalia, GA 30474
- Reassigned Medicare billing, Georgia enrollment
- 8 clinicians in this Medicare group
Metter, GA 30439
- Reassigned Medicare billing, Georgia enrollment
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAPhysician 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.
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.
Which organizations bill Medicare for Kimberly Warren's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Warren reassigns Medicare benefits to 2 organizations: Dr. F. Geoffery Conner PC (Vidalia, GA) and Hospital Authority Of Candler County (Metter, GA). Each 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 Kimberly Warren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Warren accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kimberly Warren as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kimberly Rae Warren, MSN, APRN, AGPCNP-BC · NPI 1104505460
Adult Health physician in Vidalia, Georgia. Individual provider, active in the CMS NPPES registry since July 14, 2023.
## Identity
- **NPI:** 1104505460 (Entity type: Individual)
- **Enumerated:** July 14, 2023
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** RN269449 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2203 GA HIGHWAY 130 W, Vidalia, GA 30474-5555
- **Phone:** (912) 245-5491
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dr. F. Geoffery Conner PC (NPI 1376729228, Vidalia, GA); Hospital Authority Of Candler County (NPI 1306276324, Metter, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104505460) · Data from the CMS NPPES public registry.