JEANNETTE G WARNER MD PA
NPI 1700159340
Allergy & Immunology - Allergy in Palm Bay, FL

Active since February 13, 2012CLIA 10D1106153 · Waiver
1270 MALABAR RD SE STE 1, PALM BAY, FL 32907(321) 722-1944 Get Directions Write a Review

NPPES record last updated: May 26, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeannette G Warner Md Pa NPPES

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

JEANNETTE G WARNER MD PA (NPI 1700159340) is a healthcare organization registered as an allergy in Palm Bay, Florida and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Jeannette G Warner, President, as its authorized official.

NPPES Registry Identity

NPI1700159340
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameJEANNETTE G WARNER MD PA
Location Address1270 MALABAR RD SE STE 1Palm Bay, FL 32907-3407
Mailing Address1270 Malabar Rd Se Ste 1Palm Bay, FL 32907-3407 · (321) 722-1944
Organization SubpartNo
Authorized OfficialJeannette G WarnerPresident · (321) 722-1944
Enumeration DateFebruary 13, 2012
Last NPPES UpdateMay 26, 2017
✔ NPI 1700159340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in FL · ME0063433
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
1270 MALABAR RD SE STE 1, Palm Bay, FL 32907

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannette G Warner Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeannette G Warner MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1093106650
1380 S PATRICK DR
Satellite Bch, FL 32937
(321) 773-2659
✔ PECOS✔ Accepts Medicare12 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1106153

Jeannette G Warner MD · Palm Bay, FL
Active · expires Oct 6, 2027
CLIA Number10D1106153
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorJeannette G. Warner
Laboratory Phone(321) 722-1933
Laboratory LocationJeannette G Warner MD1270 Malabar Rd SE Ste 1, Palm Bay, FL 32907
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Jeannette G Warner MD PA's NPI number?

The NPI number for Jeannette G Warner MD PA is 1700159340. It was assigned to this organization in the NPPES registry on February 13, 2012.

Where is Jeannette G Warner MD PA located?

Jeannette G Warner MD PA is located at 1270 Malabar Rd SE Ste 1, Palm Bay, FL 32907. The listed phone number is (321) 722-1944.

What is Jeannette G Warner MD PA's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Jeannette G Warner MD PA enrolled in Medicare?

Yes. Jeannette G Warner MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeannette G Warner MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jeannette G Warner MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jeannette G Warner MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1106153) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jeannette G Warner MD PA was last updated on May 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.