STEFANIE LYNN WARREN (FNP) – Family Nurse Practitioner, NPI 1104488410

STEFANIE LYNN WARREN (FNP) is a healthcare provider. based in Lake worth, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 11003093 (FL). The NPI Number for STEFANIE LYNN WARREN (FNP) is 1104488410

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STEFANIE LYNN WARREN (FNP)
NPI
1104488410
Phone
(407) 668-3954
Address
5940 Teakwood Rd
Enumeration Date
8 July 2019
Last Update Date
27 July 2024

Doctor Profile

Medical School Name
FLORIDA ATLANTIC UNIVERSITY, COLLEGE OF MEDICINE
Secondary Phone
2072896726
Graduation Year
2019 (7 years ago)
PAC ID
3375082845
Group Practice PAC ID
8123367687
Professional Enrollment ID
I20240828002007
Address ID
ME040747662SC400XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for STEFANIE LYNN WARREN (FNP)

  • 5940 Teakwood Rd

    Lake Worth, FL 334676349

    Phone: (407) 668-3954

    Type: Location

  • 5940 TEAKWOOD RD

    LAKE WORTH, FL 334676349

    Phone: (407) 668-3954

    Type: Mailing

  • 232 TEAR CAP RD

    HIRAM, ME 040413126

    Phone: (407) 668-3954

    Type: Mailing

  • 400 ENTERPRISE DR STE 1

    SCARBOROUGH, ME 040747663

    Phone: (207) 289-6726

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($204).

Total Amount

$204

General + Research + Ownership

Payments

7

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$204
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240828002007INurse PractitionerMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33467)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123367687View full group profile
NameSpecialtyState
Nurse PractitionerME
Interventional Pain Management, Pain ManagementME

Reviews

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Frequently asked questions

What is the standard ID for STEFANIE LYNN WARREN (FNP) in the U.S.?
In the U.S., STEFANIE LYNN WARREN (FNP) is identified by NPI 1104488410.
Should I treat STEFANIE LYNN WARREN (FNP) as an active provider?
Patients and plans typically see STEFANIE LYNN WARREN (FNP) as active in the national extract.
Which specialty label fits STEFANIE LYNN WARREN (FNP)?
NPPES ties STEFANIE LYNN WARREN (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is STEFANIE LYNN WARREN (FNP) tied to Lake Worth, Florida?
If you are local to Lake Worth, Florida, STEFANIE LYNN WARREN (FNP) may be relevant to your search.
Who maintains STEFANIE LYNN WARREN (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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