Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicole Marie Warner, MD

Individual provider Dermatology Physician · NPI 1710244397

Dr. Nicole Marie Warner, MD is a Dermatology in Crestview Hills, Kentucky. Graduated from Pennsylvania State University College of Medicine in 2012, 14 years ago. Practices with Summit Medical Group Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Kentucky and Pennsylvania.

Years since qualifying
14
Trained at
Pennsylvania State University College of Medicine
Licensed in
KY, PA
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

651 Centre View Blvd
Crestview Hills, KY 41017-5423
Phone: (859) 301-6647
Fax: (859) 331-0809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 53968 (KY)
Dermatology Physician Taxonomy 207N00000X · Licence MD457774 (PA)
Dermatology Physician Taxonomy 207N00000X · Licence 53968 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710244397
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2012
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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