Active NPI
Ann Marie Theresa Storbrauck, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Jamison, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP018884
- Practice address
- 2813 Lee Dr
Jamison, PA 18929-1047 - Phone
- (267) 884-4788
- Fax
- (215) 798-9726
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP018884 | PA | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R149292 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209029491 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | SP009486 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00297900 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 30454 | SC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 32914 | TN |
Addresses
Primary practice location
2813 Lee Dr
Jamison, PA 18929-1047
Mailing address
30 S 15TH St Ste 1550
Philadelphia, PA 19102-4806
Phone (267) 884-4788
Other names 1
- Miss Ann Marie Theresa Mignona
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2261 Market St
San Francisco, CA 94114-1612
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP009486 | PA | MD | Adult Health Nurse Practitioner |
| 209029491 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
| R149292 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
| 26NJ00297900 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 30454 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
| 32914 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Medical Services, Inc. | Current | Accepting new patients | |
| Alegis Care - Pennsylvania PC | Current | Accepting new patients | |
| Evernorth Care Providers - Delaware PA | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Evernorth Care Providers - Delaware PA | Current | Accepting new patients | |
| Joseph Dantonio MD PC | Current | Accepting new patients |
Locations
160 Rock Hill Rd
Fl 1
Bala Cynwyd, PA 19004
Phone (610) 667-5460
615 W Main St
Lansdale, PA 19446
Phone (215) 453-1321
1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760
3000 Park Ln
Pittsburgh, PA 15275
730 Cool Springs Blvd
Ste 500
Franklin, TN 37067
Interoperability endpoints
- astorbrauck29227@evernorth.direct-ci.com
- annmarie.storbrauck.p2@direct.alegiscare.nextgenshare.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Pittsburgh, PA
- NPI 1548511017
-
- General Practice Physician
- Philadelphia, PA
- NPI 1457138182
-
- Psychiatry Physician
- Lansdale, PA
- NPI 1770557548
-
- Psychiatry Physician
- Bala Cynwyd, PA
- NPI 1659452027
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
PA
-
- General Practice Physician
- Chicago, IL
- NPI 1558118281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1417142514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 S 15TH ST STE 1550",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024806",
"telephone_number": "267-884-4788",
"fax_number": "215-798-9726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2813 LEE DR",
"city": "JAMISON",
"state": "PA",
"postal_code": "189291047",
"telephone_number": "267-884-4788",
"fax_number": "215-798-9726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORBRAUCK",
"first_name": "ANN MARIE",
"middle_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP018884",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R149292",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209029491",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP009486",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00297900",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "30454",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "32914",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN MARIE",
"last_name": "MIGNONA",
"middle_name": "THERESA",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jamison, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.