Andrea Lynn Warner, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Marshall, IL
NPI 1972259968 · NPPES record last updated Feb 28, 2022
Key facts
- NPI
- 1972259968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.024825 (IL)
- Practice address
- 408 N 2ND St
Marshall, IL 62441-1010 - Phone
- (217) 826-2361
- NPI assigned
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Hospital Inc
Practice addresses (Care Compare)
1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7384
408 N 2ND St
Marshall, IL 62441-1010
Phone (217) 826-2361
Hospital & facility affiliations
- LHC-Illinois Home Health Care
- Union Hospital Inc
- Paris Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220412000437 | IN | Practitioner - Nurse Practitioner | 7113313578 | Reassigns benefits to 1 organization |
| I20220428001500 | IL | Practitioner - Nurse Practitioner | 7113313578 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024825 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital, Inc. | Current |
Accepting new patients | |
| Union Hospital Inc | Current |
Accepting new patients | |
| Union Hospital, Inc. | Current |
Accepting new patients | |
| Union Hospital Inc. | Past | Accepting new patients |
Locations
408 N 2nd St
Marshall, IL 62441
Phone (217) 826-2361
410 N 2nd St
Marshall, IL 62441
Phone (217) 826-2358
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.024825 | IL | Yes |
Addresses
Primary practice location
408 N 2ND St
Marshall, IL 62441-1010
Mailing address
13310 N 450TH St
Martinsville, IL 62442-2602
Phone (618) 928-3517
NPI Registry JSON
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1972259968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13310 N 450TH ST",
"city": "MARTINSVILLE",
"state": "IL",
"postal_code": "624422602",
"telephone_number": "618-928-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N 2ND ST",
"city": "MARSHALL",
"state": "IL",
"postal_code": "624411010",
"telephone_number": "217-826-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "ANDREA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.024825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, IL
- Union Associated Physicians Clinic, LLC
- Union Hospital Inc
- Union Hospital Incorporated
- Joseph Harold Vogler
- Walmart Inc.
- Erica Diane Weber
- Wellum Chiropractic Center Inc
- Jeffrey B Wellum
- William O Worthington
- Brandi Renee York
All providers in Marshall, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.