Individual provider Active NPI

Adrienne Warren, PA

  • Medical Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1750802369
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110005801 Issued in VA
Practice address
5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone
(757) 393-1136
Fax
(757) 698-2499
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110005801 VA Primary

Addresses

Primary practice location

5516 Virginia Beach Blvd
Virginia Beach, VA 23462

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other practice location 1

1168 First Colonial Rd Ste 201
Virginia Beach, VA 23454-2444
Phone (757) 481-1113

Other practice location 2

5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (305) 628-6117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170927001504 VA Practitioner - Physician Assistant 5799059978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

113 Gainsborough SQ
Suite 101
Chesapeake, VA 23320-1713
Phone (757) 436-3285

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC CurrentSince Aug 1, 2017 Accepting new patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients
Bayview Physician Services, PC CurrentSince Aug 1, 2017 Accepting new patients
Capital Digestive Care ,LLC CurrentSince May 23, 2023 Accepting new patients
Jencare Neighborhood Medical Center Virginia Beach LLC CurrentSince Oct 27, 2019 Accepting new patients
Sentara Medical Group CurrentSince Apr 12, 2021 Accepting new patients
Capital Digestive Care, LLC CurrentSince May 23, 2023 Accepting new patients
Bayview Medical Center, Inc Past Accepting new patients
Capital Digestive Care ,LLC Past Accepting new patients

Locations

2000 Pennsylvania Ave NW
Ste 3010
Washington, DC 20006
Phone (202) 296-3449

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

5550 Friendship Blvd
Ste T90
Chevy Chase, MD 20815
Phone (301) 654-2521

5500 Knoll North Dr
Ste 460
Columbia, MD 21045
Phone (410) 730-9363

20582 Boland Farm Rd Ste 201
Germantown, MD 20876

3280 Urbana Pike
Ste 101
Ijamsville, MD 21754
Phone (301) 810-5252

7350 Van Dusen Rd
Ste 210
Laurel, MD 20707
Phone (301) 395-5500

7350 Van Dusen Rd
Ste 410
Laurel, MD 20707
Phone (301) 498-5500

3415 Olandwood Ct
Ste 101
Olney, MD 20832
Phone (301) 340-3252

125 Potomac Psge
Ste 250
Oxon Hill, MD 20745
Phone (240) 238-0067

6100 Executive Blvd
Ste 301
Rockville, MD 20852

15001 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 340-3252

9711 Medical Center Dr
Ste 308
Rockville, MD 20850
Phone (301) 251-0015

10770 Columbia Pike
Ste 400
Silver Spring, MD 20901
Phone (215) 589-9012

11921 Bournefield Way
Ste 100
Silver Spring, MD 20904
Phone (240) 737-0080

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

113 Gainsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 436-3285

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699

1168 First Colonial Rd
Ste 201
Virginia Beach, VA 23454
Phone (757) 481-1113

Organizations & group practices 9

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 7

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1750802369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 VIRGINIA BEACH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-393-1136",
            "fax_number": "757-698-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1168 First Colonial Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542444",
            "country_code": "US",
            "telephone_number": "757-481-1113",
            "fax_number": "757-496-3822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5516 Virginia Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23462",
            "country_code": "US",
            "telephone_number": "305-628-6117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ADRIENNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110005801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.