Active NPI
Marcie Louise Warner, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Belleville, IL
National Provider Identifier
1902608375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209031624
- Practice address
- 1529 Bountiful LN
Belleville, IL 62220-2878 - Phone
- (618) 339-0109
- NPI assigned
- Mar 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209031624 | IL | Primary |
Addresses
Primary practice location
1529 Bountiful LN
Belleville, IL 62220-2878
Mailing address
1529 Bountiful LN
Belleville, IL 62220-2878
Phone (618) 339-0109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209031624 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1902608375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1529 BOUNTIFUL LN",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622202878",
"telephone_number": "618-339-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 BOUNTIFUL LN",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622202878",
"telephone_number": "618-339-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "MARCIE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209031624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, IL
- Jerome Stephen Warchol Sr., D.M.D.
- Carla Ward, D.C.
- Diane Carrie Warfield, DT
- Daniel R Warner, CRNA
- Lori S Warner, CRNA
- Washington University Physicians in Illinois, Inc
- Washington University Physicians in Illinois, Inc.
- Washington University Physicians in Illinois, Inc.
- Wayne Thomas Walker, Inc.
- We Adjust That Chiropractic Centers LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.