Individual provider Active NPI

Deborah Warner, NP

  • Family Nurse Practitioner
  • De Ruyter, NY
National Provider Identifier
1790763142
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
320032 Issued in NY
Practice address
711 Railroad St
De Ruyter, NY 13052-9700
Phone
(315) 852-3423
Fax
(315) 852-6016
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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 320032 NY Primary

Addresses

Primary practice location

711 Railroad St
De Ruyter, NY 13052-9700

Mailing address

17 Main St
Suite 302
Cortland, NY 13045-6606
Phone (607) 753-3797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120712000158 NY Practitioner - Nurse Practitioner 9335304609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortland ENT, PCGroup PAC ID 5698864429, 7 clinicians

Practice addresses (Care Compare)

64 Pomeroy St
Cortland, NY 13045-2708
Phone (607) 753-6560

Hospital & facility affiliations

  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as group
Quality
91.65
Promoting interoperability
100
Improvement activities
40
Cost
90.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cortland ENT, PC CurrentSince Jul 16, 2012 Accepting new patients
Deruyter Health Center Past Accepting new patients
Family Health Network of Central New York, Inc. Past Accepting new patients
Family Health Network of Central New York, Inc. Past Accepting new patients

Locations

64 Pomeroy St
Cortland, NY 13045
Phone (607) 662-4521

Organizations & group practices 4

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1790763142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAIN ST",
            "address_2": "SUITE 302",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130456606",
            "telephone_number": "607-753-3797",
            "fax_number": "607-753-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 RAILROAD ST",
            "city": "DE RUYTER",
            "state": "NY",
            "postal_code": "130529700",
            "telephone_number": "315-852-3423",
            "fax_number": "315-852-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "DEBORAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "320032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Ruyter, NY

Sources for this page

Verify at the official NPI Registry.