Ronald Lee Warner, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704260161 Issued in MI

Practice address

75 Sheldon Ave SE Ste 100
Grand Rapids, MI 49503-4224

Phone

(616) 391-6120

NPI assigned

Jun 25, 2013

Last updated

Oct 30, 2023By the provider in NPPES

Sex

Male

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 MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Counseling Center of West Michigan, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1437610730
  Medicare reassignment NPD
• Havenwyck Hospital Inc

  • Psychiatric Hospital
  • Auburn Hills, MI
  • NPI 1053342220
  Medicare reassignment NPD
• Old Mission Wound Care Michigan PLLC

  • Specialist
  • Traverse City, MI
  • NPI 1467282913
  Medicare reassignment NPD
• Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Sterling, MI
  • NPI 1477538239
  Medicare reassignment NPD
• Havenwyck Hospital Inc

  dba Cedar Creek Hospital

  • Psychiatric Hospital
  • Saint Johns, MI
  • NPI 1053841650
  NPD
• Hungerford Chiropractic & Wellness Center PC

  • Chiropractor
  • Grand Rapids, MI
  • NPI 1528314200
  NPD
• Sterling Area Health Center

  dba Surline School Wellness Program

  • Federally Qualified Health Center (FQHC)
  • West Branch, MI
  • NPI 1588559421
  NPD
• Sterling Area Health Center

  dba Ogemaw Clinic

  • Federally Qualified Health Center (FQHC)
  • Prescott, MI
  • NPI 1881679645
  NPD
• Munson Healthcare Grayling

  dba Prudenville Community Health Center

  • Rural Health Clinic/Center
  • Prudenville, MI
  • NPI 1144626052
  NPD (past)
• Virtuwell Therapy, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1871356212
  NPD (past)

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1679912505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SHELDON AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034224",
            "telephone_number": "616-391-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704260161",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704260161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warner de Leeuw IV, PC (American Chiropractic Center PC)
• Jessica Warner
• Katherine Marie Warner, NP
• Megan E Warner, NP
• Remi Caroyln Warner, BT
• Araceli Jaimes Warners, MSW
• Kari Anna Kenney Warners, NP
• Susan Bohon Warnes, MSW PSYD LMSW ALSW
• Emily Warning, LLMSW
• Amy Warpinski, D.O.

• Psychiatric/Mental Health Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.