MR. KENNETH P WARREN (APRN) – Nurse Practitioner, NPI 1013909324

MR. KENNETH P WARREN (APRN) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. R0050761 (OK). The NPI Number for MR. KENNETH P WARREN (APRN) is 1013909324

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNETH P WARREN (APRN)
NPI
1013909324
Phone
(918) 591-3567
Address
1822 E 15TH ST
Enumeration Date
22 August 2005
Last Update Date
11 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186224782
Graduation Year
1997 (29 years ago)
PAC ID
0941107320
Group Practice PAC ID
1557883162
Professional Enrollment ID
I20081126000183
Address ID
OK741322827TU8660XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

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Provider Addresses for MR. KENNETH P WARREN (APRN)

  • East 15th Street, Tulsa, Tulsa County, Oklahoma, 74112, United States

    SUITE A

    TULSA, OK 741044645

    Phone: (918) 591-3567

    Fax: (918) 591-3568

    Type: Mailing

  • 2202 E 49TH ST STE 600

    TULSA, OK 741058716

    Phone: (918) 591-3567

    Fax: (918) 591-3568

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-11-26

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
I20081126000183INurse PractitionerOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes5611$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

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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: 1557883162View full group profile
NameSpecialtyState
Family PracticeOK
C H I R O P R A C T I COK
Nurse PractitionerOK

Reviews

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Frequently asked questions

What federal number belongs to MR. KENNETH P WARREN (APRN)?
The federal identifier for MR. KENNETH P WARREN (APRN) is NPI 1013909324.
Is MR. KENNETH P WARREN (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MR. KENNETH P WARREN (APRN)'s specialty in plain language?
Clinically, the directory lists MR. KENNETH P WARREN (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. KENNETH P WARREN (APRN) practice in Oklahoma?
You will see Tulsa, Oklahoma on file for MR. KENNETH P WARREN (APRN) alongside any extra practice locations.
What if Tulsa, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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