BECCA WARNICK (FNP) – Family Nurse Practitioner, NPI 1790347623

BECCA WARNICK (FNP) is a healthcare provider. based in Grandview, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 63303 (ID). The NPI Number for BECCA WARNICK (FNP) is 1790347623

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
BECCA WARNICK (FNP)
NPI
1790347623
Phone
(509) 203-1080
Address
1003 WALLACE WAY
Enumeration Date
1 July 2019
Last Update Date
11 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088141600
Graduation Year
2019 (7 years ago)
PAC ID
5698107449
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20201210002249
Address ID
ID833015860TW725XXWXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

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Provider Addresses for BECCA WARNICK (FNP)

  • 1003, Wallace Way, Blacks Corner, Grandview, Yakima County, Washington, 98930, United States

    GRANDVIEW, WA 98930

    Phone: (509) 203-1080

    Type: Mailing

  • 1308 8th St Ste 1

    Rupert, ID 833501535

    Phone: (208) 436-4322

    Fax: (208) 436-1312

    Type: Location

  • 1308 8TH ST STE 1

    RUPERT, ID 833501535

    Phone: (208) 436-4322

    Fax: (208) 436-1312

    Type: Mailing

  • 725 POLE LINE RD W

    TWIN FALLS, ID 833015860

    Phone: (208) 814-1600

    Fax: (208) 814-1910

    Type: Location

  • 190 E BANNOCK ST

    BOISE, ID 837126241

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $500.

Total Amount is formed as General ($500) + Research ($0) + Ownership ($0) = $500.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($165).

Total Amount

$500

General + Research + Ownership

Payments

24

Total payment records

General Amount

$500

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2020-12-10

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
I20201210002249INurse PractitionerIDTBD

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 98930)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

How do I look up BECCA WARNICK (FNP) by NPI?
Use NPI 1790347623 when you need to reference BECCA WARNICK (FNP) in forms, claims, or directories.
Is BECCA WARNICK (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does BECCA WARNICK (FNP) treat or focus on?
Patients typically see BECCA WARNICK (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for BECCA WARNICK (FNP)?
We surface Grandview, Washington for BECCA WARNICK (FNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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