Individual provider Active NPI

Michael Warren, FNP

  • Family Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1710245220
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R150520 Issued in MD
Practice address
6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593
Phone
(443) 949-0814
NPI assigned
May 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R150520 MD Primary

Addresses

Primary practice location

6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593

Mailing address

6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593
Phone (443) 949-0814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120628000405 MD Practitioner - Nurse Practitioner 9032374814 Reassigns benefits to 3 organizations
I20120629000017 DC Practitioner - Nurse Practitioner 9032374814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdics Rehabilitative Services LLCGroup PAC ID 4981861903, 25 clinicians
Mdics Rehabilitative Services - Ltcaco LLCGroup PAC ID 8426556267, 13 clinicians

Practice addresses (Care Compare)

10200 La Plata Rd
La Plata, MD 20646-3245
Phone (443) 949-0814

10210 La Plata Rd
La Plata, MD 20646-3245
Phone (443) 949-8814

121 Morris Dr
La Plata, MD 20646-4254
Phone (410) 999-1133

154 N Artizan St
Williamsport, MD 21795-1104
Phone (301) 582-1711

6934 Aviation Blvd
Suite B
Glen Burnie, MD 21061-2593
Phone (443) 949-0814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics Rehabilitative Services LLC CurrentSince May 23, 2012 Accepting new patients
Mdics at Civista LLC CurrentSince May 23, 2012 Accepting new patients
Mdics Rehabilitative Services - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Maryland Inpatient Care Specialists LLC Past Accepting new patients

Locations

3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

1500 Pennsylvania Ave
Hagerstown, MD 21742
Phone (301) 745-4200

7250 Parkway Dr
Ste 500
Hanover, MD 21076
Phone (410) 999-1130

121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1710245220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD",
            "address_2": "SUITE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "443-949-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 AVIATION BLVD",
            "address_2": "SUITE B",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612593",
            "telephone_number": "443-949-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R150520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.