RICHARD T WARREN (ANP) – Adult Health Nurse Practitioner, NPI 1134151822

RICHARD T WARREN (ANP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. 1134151822 (OR). The NPI Number for RICHARD T WARREN (ANP) is 1134151822

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD T WARREN (ANP)
NPI
1134151822
Phone
(503) 215-2669
Address
6350 NE HALSEY ST
Enumeration Date
6 July 2006
Last Update Date
16 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032158580
Graduation Year
1998 (28 years ago)
PAC ID
9638193725
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20060117000052
Address ID
OR972132982PO5050XSTXX419
Telehealth
Yes

Contacts

Secure Messaging
rwarren120910@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

3,366 NURSE PRACTITIONER in OR

Provider Addresses for RICHARD T WARREN (ANP)

  • 6350 NE HALSEY ST

    PORTLAND, OR 972134720

    Phone: (503) 215-2669

    Type: Location

  • 9205 SW Barnes Rd

    Portland, OR 972256603

    Phone: (503) 215-4620

    Fax: (503) 215-4846

    Type: Location

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Fax: (503) 215-6644

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972256603

    Phone: (503) 215-4620

    Fax: (503) 215-4846

    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: 2006-01-17

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
I20060117000052INurse PractitionerORTBD

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
99205New patient office or other outpatient visit, 60-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 97213)

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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: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

What unique ID ties claims to RICHARD T WARREN (ANP)?
NPI 1134151822 is assigned to RICHARD T WARREN (ANP) under the national enumeration system.
Does this profile mean RICHARD T WARREN (ANP) is currently active?
Yes — RICHARD T WARREN (ANP) appears active in the national provider directory.
What kind of provider is RICHARD T WARREN (ANP)?
The page reflects Adult Health Nurse Practitioner for RICHARD T WARREN (ANP). Clinical services aligned with this taxonomy classification.
What location shows for RICHARD T WARREN (ANP)?
We surface Portland, Oregon for RICHARD T WARREN (ANP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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