Individual provider Active NPI

Joanna McGowan Warren, RN, MSN, CFNP

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1730196353
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R865985 Issued in MS
Practice address
971 Lakeland Dr
Suite 450
Jackson, MS 39216-4643
Phone
(601) 948-5158
Fax
(601) 949-6058
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R865985 MS Primary

Addresses

Primary practice location

971 Lakeland Dr
Suite 450
Jackson, MS 39216-4643

Mailing address

971 Lakeland Dr
Suite 450
Jackson, MS 39216-4643
Phone (601) 948-5158

Other identifiers 2

IdentifierTypeStateIssuer
F0606255OtherMSCERTIFICATION #
R865985OtherMSLICENSURE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20140813000168 MS Practitioner - Nurse Practitioner 2264659390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Endocrine and Metabolism PLLCGroup PAC ID 5890031827, 3 clinicians

Practice addresses (Care Compare)

1551 E County Line Rd
Jackson, MS 39211-1801
Phone (601) 790-1233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.6 of 100Reported as group
Quality
59.57
Promoting interoperability
99
Improvement activities
40
Cost
73.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R865985MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Endocrine and Metabolism PLLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

1551 E County Line Rd
Jackson, MS 39211
Phone (601) 790-1233

Interoperability endpoints

  • Direct secure messaging: joanna.warren@metamedms.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1730196353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR",
            "address_2": "SUITE 450",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164643",
            "telephone_number": "601-948-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR",
            "address_2": "SUITE 450",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164643",
            "telephone_number": "601-948-5158",
            "fax_number": "601-949-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JOANNA",
        "middle_name": "MCGOWAN",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R865985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION #",
            "identifier": "F0606255",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE #",
            "identifier": "R865985",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.