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DONNA MICHELLE WARREN MD
NPI 1619006012
Pediatrics in Glasgow, KY

Active since March 04, 2007PECOS Enrolled
301 PROFESSIONAL PARK, GLASGOW, KY 42141(270) 651-9696(270) 651-0385 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donna Michelle Warren Md NPPES

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

DONNA MICHELLE WARREN MD (NPI 1619006012) is an individual pediatrics provider in Glasgow, Kentucky, licensed in Kentucky (KY40630) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619006012
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDONNA MICHELLE WARRENCredential: MD
Location Address301 PROFESSIONAL PARKGlasgow, KY 42141
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 864-1472 · Fax (270) 864-1693
Phone(270) 651-9696
Fax(270) 651-0385
Sole ProprietorNo
Enumeration DateMarch 4, 2007
Last NPPES UpdateJune 10, 2014
✔ NPI 1619006012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · KY40630
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
301 PROFESSIONAL PARK, Glasgow, KY 42141
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Other Identifiers 2

Medicaid7100013600KY
Medicare PINK102890KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna Michelle Warren Md 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 Donna Warren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cumberland Family Medical Center Inc
0.1 mi
Federally Qualified Health Center (FQHC)
301 PROFESSIONAL PARK DR
Glasgow, KY 42141
  • Reassigned Medicare billing, Kentucky enrollment
  • 276 clinicians in this Medicare group
NPI 1093159873 (270) 651-9696

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 42141 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

JEANIE R REED LPCC
Counselor (Professional)
301 PROFESSIONAL PARK
GLASGOW, KY 42141
Barren County (270) 651-9696

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 Donna Warren's NPI number?

The NPI number for Donna Warren is 1619006012. It was assigned to this individual provider in the NPPES registry on March 4, 2007.

Where is Donna Warren located?

Donna Warren practices at 301 Professional Park, Glasgow, KY 42141. The listed phone number is (270) 651-9696.

What is Donna Warren's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Donna Warren enrolled in Medicare?

Yes. Donna Warren is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donna Warren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Warren reassigns Medicare benefits to Cumberland Family Medical Center Inc (Glasgow, KY). 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 Donna Warren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Warren accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Donna 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.

When was this NPI record last updated?

The NPPES record for Donna Warren was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.