Individual provider Active NPI

Lauren Meredith Warner, MD

  • Family Medicine Physician
  • Allendale, MI
National Provider Identifier
1396123964
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT208965 Issued in PA
Practice address
11160 W J Presley Parkway
Suite 100
Allendale, MI 49401
Phone
(616) 252-3900
Fax
(616) 252-3920
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT208965 PA Primary

Addresses

Primary practice location

11160 W J Presley Parkway
Suite 100
Allendale, MI 49401

Mailing address

5900 Byron Center Ave SW
Medical Administration
Wyoming, MI 49519-9606
Phone (162) 523-9006

Other practice location 1

95 Leonard Ave
Building 2 2nd Floor
Washington, PA 15301-3368
Phone (724) 223-3100

Other identifiers 1

IdentifierTypeStateIssuer
1396123964MedicaidMI

Other names 1

  • Lauren Meredith Cook Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181011001271 MI Practitioner - Family Practice 3779887591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metropolitan HospitalGroup PAC ID 5597651836, 421 clinicians

Practice addresses (Care Compare)

11160 WJ Presley Pkwy
Allendale, MI 49401-8074
Phone (616) 252-3900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Hospital CurrentSince Oct 1, 2018 Accepting new patients
Metropolitan Hospital Past Accepting new patients

Locations

4830 Becker Dr
Allendale, MI 49401
Phone (616) 252-3376

11160 Wj Presley Pkwy
Allendale, MI 49401
Phone (616) 252-3900

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Interoperability endpoints

  • Direct secure messaging: lwarner106667@direct.metrohealth.net

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1396123964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVE SW",
            "address_2": "MEDICAL ADMINISTRATION",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199606",
            "telephone_number": "162-523-9006",
            "fax_number": "616-252-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 W J PRESLEY PARKWAY",
            "address_2": "SUITE 100",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "49401",
            "telephone_number": "616-252-3900",
            "fax_number": "616-252-3920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Leonard Ave",
            "address_2": "Building 2 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153013368",
            "country_code": "US",
            "telephone_number": "724-223-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "LAUREN",
        "middle_name": "MEREDITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT208965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396123964",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "COOK",
            "middle_name": "MEREDITH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allendale, MI

Sources for this page

Verify at the official NPI Registry.