MRS. WENDY M WARREN PA - NPI 1528112166 - Physician Assistant in Louisville, KY

Q: What is Wendy Warren's NPI number?

The NPI number for Wendy Warren is 1528112166. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Wendy Warren's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Wendy Warren was last updated on November 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Wendy M Warren Pa NPPES

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

MRS. WENDY M WARREN PA (NPI 1528112166) is an individual medical provider in Louisville, Kentucky, licensed in Kentucky (PA557) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528112166

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. WENDY M WARRENCredential: PA

Location Address3999 DUTCHMANS LN STE 6FLouisville, KY 40207-4724

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 394-5678

Fax(502) 394-5600

Sole ProprietorNo

Enumeration DateJanuary 22, 2007

Last NPPES UpdateNovember 18, 20246 updates tracked since enumeration

NPPES CertifiedNovember 18, 2024

✔ NPI 1528112166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in KY · PA557

3999 DUTCHMANS LN STE 6F, Louisville, KY 40207

Open in Google Maps ↗

Other Identifiers 1

Medicaid95003208KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Wendy M Warren Pa 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

ANGELENA B. EDWARDS M.D.

Urology (Pediatric Urology)