Individual provider Active NPI

Marti Lea Warden, APN

  • Nurse Practitioner
  • Gainesville, MO
National Provider Identifier
1053452839
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
138415 Issued in MO
Practice address
98 1St St Ste 1
Gainesville, MO 65655-8087
Phone
(417) 679-3234
Fax
(417) 679-3236
NPI assigned
Feb 12, 2007
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 138415 MO Primary
Family Nurse Practitioner 363LF0000X A01688 AR

Addresses

Primary practice location

98 1St St Ste 1
Gainesville, MO 65655-8087

Mailing address

98 1St St Ste 1
Gainesville, MO 65655-8087
Phone (417) 679-3234

Other identifiers 1

IdentifierTypeStateIssuer
53356OtherARARKANSAS BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091015000379 MO Practitioner - Nurse Practitioner 8628114089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

98 1St St
Suite 1
Gainesville, MO 65655-8087
Phone (417) 679-3234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A01688ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firstcall Family Healthcare CurrentSince Oct 21, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Douglas County Public Health Services Group, Inc. Past Accepting new patients

Locations

98 1st St
Ste 1
Gainesville, MO 65655
Phone (417) 679-3234

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDAHCD/Endpoint/IDAHCD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1053452839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 1ST ST STE 1",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "656558087",
            "telephone_number": "417-679-3234",
            "fax_number": "417-679-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 1ST ST STE 1",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "656558087",
            "telephone_number": "417-679-3234",
            "fax_number": "417-679-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "MARTI",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "138415",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "53356",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, MO

Sources for this page

Verify at the official NPI Registry.