Active NPI
Jamie Sue Warnick, MD
- Pediatrics Physician
- Decatur, IL
National Provider Identifier
1235115155
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 20, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Practice address
- 1770 E Lake Shore Dr
Decatur, IL 62521-3832 - Phone
- (217) 423-8800
- Fax
- (217) 422-8120
- NPI assigned
- Dec 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | IL | Primary |
Addresses
Primary practice location
1770 E Lake Shore Dr
Decatur, IL 62521-3832
Mailing address
1770 E Lake Shore Dr
Decatur, IL 62521-3842
Phone (217) 423-8800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7990630 | Other | IL | AETNA |
| 103881 | Other | IL | HEALTHLINK |
| 05832048 | Other | IL | BLUE CROSS BLUE SHIELD |
| 103995 | Other | IL | HEALTH ALLIANCE |
| 2251711 | Other | IL | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036068130 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235115155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 E LAKE SHORE DR",
"city": "DECATUR",
"state": "IL",
"postal_code": "625213842",
"telephone_number": "217-423-8800",
"fax_number": "217-422-8120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 E LAKE SHORE DR",
"city": "DECATUR",
"state": "IL",
"postal_code": "625213832",
"telephone_number": "217-423-8800",
"fax_number": "217-422-8120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNICK",
"first_name": "JAMIE",
"middle_name": "SUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7990630",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "103881",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "05832048",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "103995",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2251711",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.