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Deactivated NPI 1689990236 Deactivated / Inactive NPI Male Practitioner

John M Warner , PMHNP-BC

Registered Nurse • North Bend, OR

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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, John Warner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 07, 2010
NPI Deactivation Date December 28, 2022
Total Practice Duration ~12 Years of Practice (2010 – 2022)

Professional Overview & Biography Verified Profile Summary

John Warner, PMHNP-BC was a registered Registered Nurse practicing in North Bend, OR. Throughout an active medical career spanning 12 years, John Warner provided care at the practice location at 1975 MCPHERSON ST until profile deactivation on 2022-12-28.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1975 Mcpherson St
Suite 2

North Bend, OR 974593482

Telephone 5417512500
Fax 5417512661
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in North Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
20 Specialists

Practicing in North Bend, OR (2515 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
46 41 $236.50 $106.91

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License OR 200941082RN

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Jennifer Vonfelden

Counselor - Mental Health

NPI 1073056859
Anastasia Leypoldt

Counselor - Professional

NPI 1285054072
Vanessa Toste

Case Manager/Care Coordinator

NPI 1295143493
Shannon Hamlin

Counselor - Mental Health

NPI 1386011732
Heather Hernandez

Peer Specialist

NPI 1518319805
Bonnie Tamenreng

Case Manager/Care Coordinator

NPI 1558794255

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated December 28, 2022

Record deactivated on December 28, 2022

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Updated Practice Location October 09, 2019

Registered at 281 LACLAIR ST, COOS BAY, OR 974202988 (Tel: 5412666700)

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Provider Name / Credentials Updated October 09, 2019

Recorded as JOHN WARNER, MSN, PMHNP-BC

NPI Profile Active August 25, 2015

NPI status registered as active in NPPES database

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Updated Practice Location August 25, 2015

Registered at 1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 974593482 (Tel: 5417512500)

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Updated Business Mailing Address August 25, 2015

Registered at 1975 MCPHERSON ST, SUITE 2, NORTH BEND, OR 974593482 (Tel: 5417512500)

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Provider Name / Credentials Updated August 25, 2015

Recorded as JOHN WARNER, PMHNP-BC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2015

Registered Nurse (License #200941082RN in OR)

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Initial NPI Registration & Enumeration April 07, 2010

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: 1689990236
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2010
Last Update: August 25, 2015
Deactivation Date: December 28, 2022

Mailing Address

1975 Mcpherson St, Suite 2

North Bend, OR 974593482

Phone: 5417512500

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.