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SAMUEL WARREN PA-C, MSC
NPI 1972151892
Student in an Organized Health Care Education/Training Program in Newton, MA

Active since September 04, 2019PECOS EnrolledAccepts Medicare Assignment
2000 WASHINGTON ST, BLUE BUILDING SUITE 201, NEWTON, MA 02462(617) 965-4263 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samuel Warren Pa-c, Msc NPPES

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

SAMUEL WARREN PA-C, MSC (NPI 1972151892) is an individual student in an organized health care education/training program in Newton, Massachusetts and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972151892
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL WARRENCredential: PA-C, MSC
Location Address2000 WASHINGTON ST, BLUE BUILDING SUITE 201Newton, MA 02462
Mailing Address2000 Washington Street, Suite 201 (blue Bldg.)Newton, MA 02462 · (617) 965-4263 · Fax (617) 928-0597
Phone(617) 965-4263
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 4, 2019
✔ NPI 1972151892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2000 WASHINGTON ST, BLUE BUILDING SUITE 201, Newton, MA 02462
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Warren Pa-c, Msc 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.

PECOS PAC ID6709216138
PECOS Enrollment IDI20200424002517
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
4 suppliers15 claims353 services$4.57 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
3 suppliers14 claims16 services$55.89 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers19 claims19 services$14.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$65.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Samuel Warren's NPI number?

The NPI number for Samuel Warren is 1972151892. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Samuel Warren located?

Samuel Warren practices at 2000 Washington St, Blue Building Suite 201, Newton, MA 02462. The listed phone number is (617) 965-4263.

What is Samuel Warren's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Warren enrolled in Medicare?

Yes. Samuel 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.

When was this NPI record last updated?

The NPPES record for Samuel Warren was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.