Individual provider Active NPI

Dustin M Sturm-Easton, NP

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1124617733
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020484 Issued in FL
Practice address
1055 3Rd St
Daytona Beach, FL 32117-4101
Phone
(386) 252-3686
NPI assigned
Jan 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 108120 WV
Family Nurse Practitioner 363LF0000X APRN11020484 FL Primary
Family Nurse Practitioner 363LF0000X 0028204 OH
Registered Nurse 163W00000X 410024 OH
Registered Nurse 163W00000X 92471 WV

Addresses

Primary practice location

1055 3Rd St
Daytona Beach, FL 32117-4101

Mailing address

1055 3Rd St
Daytona Beach, FL 32117-4101
Phone (386) 252-3686

Other practice location 1

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210917001705 WV Practitioner - Nurse Practitioner 5698172617 Reassigns benefits to 1 organization
I20230516002660 FL Practitioner - Nurse Practitioner 5698172617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

1055 3Rd St
Daytona Beach, FL 32117-4101
Phone (205) 343-7300

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Hospital & facility affiliations

  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
410024OHMDRegistered Nurse
92471WVMDRegistered Nurse
0028204OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Professionals PA CurrentSince Jan 10, 2025 Accepting new patients
Southern NP Associates, LLC CurrentSince Apr 17, 2023 Accepting new patients
HN Ucc LLC CurrentSince Mar 1, 2023 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Dec 1, 2025 Accepting new patients
Halifax Healthcare Systems Inc Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

2090 Saxon Blvd
Deltona, FL 32725
Phone (386) 845-5452

1055 3rd St
Holly Hill, FL 32117
Phone (386) 252-3686

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1124617733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 3RD ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174101",
            "telephone_number": "386-252-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 3RD ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174101",
            "telephone_number": "386-252-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015376",
            "country_code": "US",
            "telephone_number": "304-424-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STURM-EASTON",
        "first_name": "DUSTIN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "108120",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020484",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028204",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "410024",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "92471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.