Karen Jean Warner, PA
Individual provider Active NPI Physician Assistant · Hallock, MN
NPI 1619908993 · NPPES record last updated Jan 18, 2013
Key facts
- NPI
- 1619908993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 9416 (MN)
- Practice address
- 1010 S Birch Ave
Hallock, MN 56728-4215 - Phone
- (218) 843-2165
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kittson Memorial Hospital Association
Altru Health System
Lifecare Medical Center
Practice addresses (Care Compare)
1010 S Birch Ave
Hallock, MN 56728-4215
Phone (218) 843-3612
1010 S Birch Ave
P.O. Box 700
Hallock, MN 56728-0700
412 Main Ave NE
Warroad, MN 56763-2342
Phone (218) 386-2020
711 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-1365
715 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-2500
Hospital & facility affiliations
- Lifecare Medical Center
- Kittson Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110412000118 | MN | Practitioner - Physician Assistant | 2466636766 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifecare Medical Center | Current |
Accepting new patients | |
| Lifecare Medical Center | Current |
Accepting new patients | |
| Kittson Memorial Hospital Association | Current |
Accepting new patients | |
| Altru Health System | Past | Accepting new patients |
Locations
1010 S Birch Ave
Hallock, MN 56728
Phone (218) 843-3612
715 Delmore Dr
Roseau, MN 56751
Phone (218) 463-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9416 | MN | Yes |
Addresses
Primary practice location
1010 S Birch Ave
Hallock, MN 56728-4215
Mailing address
1010 S Birch Ave
Hallock, MN 56728-4215
Phone (218) 843-2165
Other providers in Hallock, MN
- Amanda Jean Pinnock
- Jalyn Robinson
- Duane P Rutz
- James E Surdy
- Leanne Beth Truedson
- Savannah Danielle Wateland
- Stacy Wolf
- Norman Martin Wolk
All providers in Hallock, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.