Andrea Warburton, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1712 Issued in NV

Practice address

2510 Wigwam Pkwy Ste 102
Henderson, NV 89074-7115

Phone

(702) 283-2552

Fax

(702) 331-3098

NPI assigned

Feb 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Health at Home by Bayada Home health agency, Las Vegas, NV, CCN 297106

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Warburton Family Practice PLLC

  • Physician Assistant
  • Henderson, NV
  • NPI 1275125338
  Medicare reassignment Authorized official
• Central Recovery Treatment LLC

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
  • NPI 1255408514
  NPD (past)
• J Corey Brown MD Fremont Medical Center LTD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1396722880
  NPD (past)

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

• Oasis Home Health, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1366442345
  Care Compare affiliation

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1588022560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WIGWAM PKWY",
            "address_2": "STE 102",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747115",
            "telephone_number": "702-515-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WIGWAM PKWY STE 102",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747115",
            "telephone_number": "702-283-2552",
            "fax_number": "702-331-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARBURTON",
        "first_name": "ANDREA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Wang, D.O.
• Kelly Xingyuan Wang, DO
• Janelle Lori Wanzek, PA-C
• Jordan War
• Warburton Family Practice PLLC
• Warby Parker Inc.
• Bonny Warby
• Dan G Ward
• Deborah Ward
• Matthew N Ward, PA-C

• Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.