Individual provider Active NPI

Jennifer Ann Storms, APRN

  • Gerontology Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1174295190
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11015580 Issued in FL
Practice address
1264 Metropolitan Blvd
Tallahassee, FL 32312-2536
Phone
(850) 524-7444
Fax
(850) 383-3439
NPI assigned
Sep 28, 2021
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11015580 FL Primary

Addresses

Primary practice location

1264 Metropolitan Blvd
Tallahassee, FL 32312-2536

Mailing address

1264 Metropolitan Blvd
Tallahassee, FL 32312-2536
Phone (850) 524-7444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211105002657 FL Practitioner - Nurse Practitioner 3476942855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Capital Health Plan, Inc,Group PAC ID 6406744077, 42 clinicians

Practice addresses (Care Compare)

1491 Governors Square Blvd
Tallahassee, FL 32301-3049
Phone (850) 383-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015580FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Plan, Inc, CurrentSince Aug 9, 2021 Accepting new patients

Locations

1264 Metropolitan Blvd
Tallahassee, FL 32312
Phone (850) 383-3333

2140 Centerville Rd
Tallahassee, FL 32308
Phone (850) 383-3300

1491 Governors Square Blvd
Tallahassee, FL 32301
Phone (850) 383-3300

Interoperability endpoints

  • Direct secure messaging: jennifer.stormsaprn.p1@direct.capitalhealthplan.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1174295190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 METROPOLITAN BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122536",
            "telephone_number": "850-524-7444",
            "fax_number": "850-383-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 METROPOLITAN BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122536",
            "telephone_number": "850-524-7444",
            "fax_number": "850-383-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11015580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.