JENNIFER B WARREN (FNP-C) – Family Nurse Practitioner, NPI 1174872626
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Provider Addresses for JENNIFER B WARREN (FNP-C)
PO BOX 405827
ATLANTA, GA 303845827
Phone:
Type: Mailing
7736 AIRWAYS BOULEVARD
SOUTHAVEN, MS 38671
Phone: (662) 772-5222
Fax: (662) 772-5957
Type: Location
3495 COBBLESTONE BLVD S
SOUTHAVEN, MS 386727075
Phone: (662) 892-2885
Fax: (662) 890-1551
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 115 Open Payments records for all available years, with a total value of $1,763.
Total Amount is formed as General ($1,763) + Research ($0) + Ownership ($0) = $1,763.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Lilly USA, LLC ($434).
Total Amount
$1,763
General + Research + Ownership
Payments
115
Total payment records
General Amount
$1,763
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $434 |
| PFIZER INC. | $327 |
| Novo Nordisk Inc | $127 |
| AstraZeneca Pharmaceuticals LP | $74 |
| Amgen Inc. | $71 |
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: 2012-09-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120925000526 | I | Nurse Practitioner | MS | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 345 | 209 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 308 | 181 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 273 | 171 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 250 | 167 | $0 |
| 83036 | Hemoglobin a1c level | 175 | 116 | $0 |
Insurance plans in this area (ZIP 30384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Internal Medicine | MS | |
| Physician Assistant | TN | |
| Family Practice | TN | |
| Nurse Practitioner | MS | |
| Family Practice | MS | |
| - | MS | |
| Internal Medicine, Pediatric Medicine | MS | |
| Nurse Practitioner | MS |
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