Shirley Anne Warner, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005546 Issued in NC

Practice address

205 S Jefferson Ave
West Jefferson, NC 28694-9737

Phone

(336) 846-6100

Fax

(336) 846-7900

NPI assigned

Apr 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medi Home Health and Hospice Home health agency, Boone, NC, CCN 347020
• Centerwell Home Health Home health agency, Boone, NC, CCN 347225
• Medi Home Health and Hospice Hospice, Boone, NC, CCN 341539
• North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
• Watauga Medical Center Hospital, Boone, NC, CCN 340051

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• High Country House Call

  • Clinic/Center
  • West Jefferson, NC
  • NPI 1073965760
  Medicare reassignment NPD Authorized official

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

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation
• Capital Care Resources, LLC

  • Home Health Agency
  • Boone, NC
  • NPI 1548602790
  Care Compare affiliation
• Medical Services of America, Inc.

  • Home Health Agency
  • Boone, NC
  • NPI 1720329246
  Care Compare affiliation
• Medical Services of America, Inc.

  • Community Based Hospice Care Agency
  • Boone, NC
  • NPI 1821339235
  Care Compare affiliation
• North Carolina Baptist Hospital

  • Psychiatric Hospital Unit
  • Winston Salem, NC
  • NPI 1063480531
  Care Compare affiliation
• North Carolina Baptist Hospital

  • Rehabilitation Hospital Unit
  • Winston Salem, NC
  • NPI 1114995677
  Care Compare affiliation
• North Carolina Baptist Hospital

  • General Acute Care Hospital
  • Winston Salem, NC
  • NPI 1144211301
  Care Compare affiliation
• North Carolina Baptist Hospital

  • Clinical Medical Laboratory
  • Winston Salem, NC
  • NPI 1609162098

  Hospital

  Care Compare affiliation
• North Carolina Baptist Hospital

  • Pediatric Adolescent Medicine Physician
  • Winston Salem, NC
  • NPI 1912179219

  Hospital

  Care Compare affiliation
• Watauga Medical Center Inc

  • General Acute Care Hospital
  • Boone, NC
  • NPI 1205859766
  Care Compare affiliation

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1548526569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S JEFFERSON AVE",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949737",
            "telephone_number": "336-846-6100",
            "fax_number": "336-846-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S JEFFERSON AVE",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949737",
            "telephone_number": "336-846-6100",
            "fax_number": "336-846-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "SHIRLEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Village of Ashe Assisted Living Inc
• Danielle Tully, RPH
• Whitney Vandenraadt, DPT
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• WJ Medical Associates

• Family Nurse Practitioner in West Jefferson, NC
• Providers in West Jefferson, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.