DR. SHERISA WARREN (D.O.) – Vascular Surgery Physician, NPI 1700104015

DR. SHERISA WARREN (D.O.) is a healthcare provider. based in London, Kentucky. specializing in VASCULAR SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101018187 (MI). The NPI Number for DR. SHERISA WARREN (D.O.) is 1700104015

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHERISA WARREN (D.O.)
NPI
1700104015
Phone
(606) 330-2370
Address
1025 Saint Joseph Lane
Enumeration Date
11 May 2010
Last Update Date
17 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052413539
Graduation Year
2009 (17 years ago)
PAC ID
3375862097
Group Practice PAC ID
5597070326
Professional Enrollment ID
I20210609002522
Address ID
OK731342699OK3200XPKWY401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness75
Years active:16State licenses:3Digital endpointsOther names

105 VASCULAR SURGERY in KY

Provider Addresses for DR. SHERISA WARREN (D.O.)

  • 1025 Saint Joseph Lane

    London, KY 407418345

    Phone: (606) 330-2370

    Fax: (606) 877-1593

    Type: Location

  • PO BOX 936

    LONDON, KY 407430936

    Phone:

    Fax: (606) 330-7825

    Type: Mailing

  • 1025 SAINT JOSEPH LANE

    LONDON, KY 407418345

    Phone: (606) 330-2370

    Fax: (606) 877-1593

    Type: Location

  • 1910 E Thomas Rd Ste 200

    Phoenix, AZ 850167767

    Phone: (602) 266-2200

    Fax: (602) 604-6134

    Type: Location

  • 3200 QUAIL SPRINGS PKWY STE 200

    OKLAHOMA CITY, OK 731342699

    Phone: (405) 701-9880

    Fax: (405) 701-9881

    Type: Location

  • PO BOX 258857

    OKLAHOMA CITY, OK 731258857

    Phone: (405) 241-3539

    Fax: (405) 241-0998

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $4,146.

Total Amount is formed as General ($4,146) + Research ($0) + Ownership ($0) = $4,146.

Last reported payment date: 2024-10-12 • Largest payer in this snapshot: CORDIS US CORP. ($1,899).

Total Amount

$4,146

General + Research + Ownership

Payments

50

Total payment records

General Amount

$4,146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-06-09

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
I20210609002522IVascular SurgeryOKTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12595$0
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes10121$0
93990Ultrasound of hemodialysis access8244$0
99212Established patient office or other outpatient visit, 10-19 minutes7661$0
99203New patient office or other outpatient visit, 30-44 minutes6060$0
View full utilization report →

Insurance plans in this area (ZIP 40741)

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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: 5597070326View full group profile
NameSpecialtyState
Nurse PractitionerOK
Vascular SurgeryOK
Interventional RadiologyOK
Physician AssistantOK
Certified Clinical Nurse Specialist (Cns)OK
Vascular SurgeryNM
Physician AssistantOK
Cardiovascular Disease (Cardiology), Interventional Cardiology, Internal MedicineAR
Cardiovascular Disease (Cardiology), Interventional CardiologyOK
Interventional Cardiology, Cardiovascular Disease (Cardiology)OK

Reviews

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Frequently asked questions

What identifier follows DR. SHERISA WARREN (D.O.) across health systems?
The NPI 1700104015 uniquely identifies DR. SHERISA WARREN (D.O.) in U.S. healthcare data.
Should I treat DR. SHERISA WARREN (D.O.) as an active provider?
Patients and plans typically see DR. SHERISA WARREN (D.O.) as active in the national extract.
How should patients interpret DR. SHERISA WARREN (D.O.)'s specialty?
The extract shows Vascular Surgery Physician for DR. SHERISA WARREN (D.O.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SHERISA WARREN (D.O.)?
DR. SHERISA WARREN (D.O.) is associated with London, Kentucky in the same public data insurers reference.
Why is information missing for DR. SHERISA WARREN (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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