Mary Storm Brynin, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11023273 Issued in FL

Practice address

830 N Mills Ave
Arcadia, FL 34266-8780

Phone

(863) 494-6599

Fax

(863) 494-5467

NPI assigned

Dec 6, 2022

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Storm Former name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desoto Memorial Home Health Care Agency Home health agency, Arcadia, FL, CCN 107272
• Millennium Home Care LLC Home health agency, Port Charlotte, FL, CCN 109401
• Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: mary.storm.1@4290.direct.athenahealth.com

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.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment Care Compare group

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

• Desoto County Hospital District

  dba Desoto Memorial Hospital

  • Rural Acute Care Hospital
  • Arcadia, FL
  • NPI 1528387842
  Care Compare affiliation
• Desoto County Hospital District

  dba Desoto Memorial Home Health

  • Home Health Agency
  • Arcadia, FL
  • NPI 1629397096
  Care Compare affiliation
• Desoto Memorial Hospital Inc

  dba DeSoto Memorial Home Health Care

  • Home Health Agency
  • Arcadia, FL
  • NPI 1881706257
  Care Compare affiliation
• Millennium Home Care LLC

  • Home Health Agency
  • Port Charlotte, FL
  • NPI 1700058583
  Care Compare affiliation

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1235840836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N MILLS AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342668780",
            "telephone_number": "863-494-6599",
            "fax_number": "863-494-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYNIN",
        "first_name": "MARY",
        "middle_name": "STORM",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "STORM",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danyiell E Bonville, LPN
• Maureen Jean Bowman, RN
• Julae E Brock, APRN
• Tirsit A Brooks, PHD
• Tamika F Brown, ARNP
• Emily Burch, PSY.D.
• Sharon A Buttermore
• Care Haven Senior Living LLC (Arcadia Oaks)
• Courtney Jones Carner, PSY.D.
• Peter Carson, PH.D.

• Family Nurse Practitioner in Arcadia, FL
• Providers in Arcadia, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.