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JENNA LAINE WARNER PNP
NPI 1457874547
Nurse Practitioner - Pediatrics in Latham, NY

Active since July 20, 2017PECOS Enrolled
6 WELLNESS WAY STE 102, LATHAM, NY 12110(518) 713-2099(518) 783-7506 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2024, Jul 20, 2017 (2 updates tracked since 2017).

About Jenna Laine Warner Pnp NPPES

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

JENNA LAINE WARNER PNP (NPI 1457874547) is an individual pediatrics provider in Latham, New York, licensed in New York (382765) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457874547
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJENNA LAINE WARNERCredential: PNP
Location Address6 WELLNESS WAY STE 102Latham, NY 12110-2156
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 713-2099
Fax(518) 783-7506
Sole ProprietorNo
Enumeration DateJuly 20, 2017
Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1457874547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 382765
6 WELLNESS WAY STE 102, Latham, NY 12110
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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 (PECOS)

Jenna Laine Warner Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

Community Care Physicians, PLLC
0.3 mi
Internal Medicine
6 WELLNESS WAY STE 201
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 474 clinicians in this Medicare group
NPI 1922048370 (518) 782-3700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 10

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

HUNTER R MACDONALD DO
Pediatrics
6 WELLNESS WAY STE 102
LATHAM, NY 12110
Albany County (518) 713-2099
DR. HEATHER MELISSA MATOTT MD
Pediatrics
6 WELLNESS WAY STE 102
LATHAM, NY 12110
Albany County (518) 713-2099
COMMUNITY CARE PHYSICIANS, PC
Pediatrics
6 WELLNESS WAY STE 102
LATHAM, NY 12110
Albany County (518) 713-2099
KRISTINA M LAHTINEN-ALEY MD
Pediatrics
6 WELLNESS WAY STE 102
LATHAM, NY 12110
Albany County (518) 713-2099
JESSICA L LAWSON PNP
Nurse Practitioner
6 WELLNESS WAY STE 102
LATHAM, NY 12110
Albany County (518) 713-2099
MELISSA A. DEIMLING M.D.
Pediatrics
6 WELLNESS WAY STE 102
LATHAM, NY 12110
Albany County (518) 713-2099
MRS. KATE ALISON WOLL MD
Pediatrics
6 WELLNESS WAY STE 102
LATHAM, NY 12110
Albany County (518) 713-2099
ZYRA CORTEZ O'CONNOR M.D.
Pediatrics
6 WELLNESS WAY STE 102
LATHAM, NY 12110
Albany County (518) 713-2099

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 Jenna Warner's NPI number?

The NPI number for Jenna Warner is 1457874547. It was assigned to this individual provider in the NPPES registry on July 20, 2017.

Where is Jenna Warner located?

Jenna Warner practices at 6 Wellness Way Ste 102, Latham, NY 12110. The listed phone number is (518) 713-2099.

What is Jenna Warner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jenna Warner enrolled in Medicare?

Yes. Jenna Warner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenna Warner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Warner reassigns Medicare benefits to Community Care Physicians, PLLC (Latham, NY). 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 Jenna Warner'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 Jenna Warner was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.