DEBRA ANN WARNDAHL (MSN, NNP-BC, ARNP) – Neonatal Nurse Practitioner, NPI 1063465532
Neonatal Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DEBRA ANN WARNDAHL (MSN, NNP-BC, ARNP)
4500 UTICA RIDGE RD
BETTENDORF, IA 527221626
Phone: (813) 417-1708
Type: Mailing
2817 Rock Merritt Ave
Fort Liberty, NC 283104804
Phone: (910) 907-7626
Type: Location
124 SW Adams St
Peoria, IL 616021308
Phone: (309) 308-6785
Type: Location
205 SHEPHERDS BLUFF DR
MOORESVILLE, NC 281157184
Phone: (813) 417-1708
Type: Mailing
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 271033013
Phone: (336) 718-3278
Type: Location
Johns Hopkins All Children's Hospital, 501, 6th Avenue South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States
ST PETERSBURG, FL 337014634
Phone: (727) 767-8181
Fax: (727) 767-8030
Type: Mailing
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: 2025-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210712003776 | I | Nurse Practitioner | IL | TBD |
| I20250221000975 | I | Nurse Practitioner | NC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 52722)
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