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Deactivated NPI 1245612001 Deactivated / Inactive NPI Male Practitioner

Trevor Warner , CPRM-M

Peer Specialist • Wayne, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Trevor Warner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 29, 2015
NPI Deactivation Date September 08, 2021
Total Practice Duration ~6 Years of Practice (2015 – 2021)

Professional Overview & Biography Verified Profile Summary

Trevor Warner, CPRM-M was a registered Peer Specialist practicing in Wayne, MI. Throughout an active medical career spanning 6 years, Trevor Warner provided care at the practice location at 3805 HAYES ST until profile deactivation on 2021-09-08.

Practice Location & Contact Primary Location

Practice Address

3805 Hayes St

Wayne, MI 481841924

Telephone 3133333359

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Wayne, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Wayne, MI (1765 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 08, 2021

Record deactivated on September 08, 2021

NPI Profile Active June 29, 2015

NPI status registered as active in NPPES database

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Updated Practice Location June 29, 2015

Registered at 3805 HAYES ST, WAYNE, MI 481841924 (Tel: 3133333359)

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Updated Business Mailing Address June 29, 2015

Registered at 3805 HAYES ST, WAYNE, MI 481841924 (Tel: 3133333359)

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Provider Name / Credentials Updated June 29, 2015

Recorded as TREVOR WARNER, CPRM-M

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2015

Peer Specialist

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Initial NPI Registration & Enumeration June 29, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245612001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2015
Last Update: June 29, 2015
Deactivation Date: September 08, 2021

Mailing Address

3805 Hayes St

Wayne, MI 481841924

Phone: 3133333359

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.