Individual provider Active NPI

Sandra Jean Storey, FNP-C

  • Family Nurse Practitioner
  • Minot, ND
National Provider Identifier
1417364126
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R24098 Issued in ND
Practice address
1021 20TH Ave SW Ste 113
Minot, ND 58701-6487
Phone
(701) 837-1551
Fax
(701) 837-1540
NPI assigned
Jul 14, 2014
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R24098 ND Primary

Addresses

Primary practice location

1021 20TH Ave SW Ste 113
Minot, ND 58701-6487

Mailing address

1021 20TH Ave SW Ste 113
Minot, ND 58701-6487
Phone (701) 837-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20140922001558 ND Practitioner - Nurse Practitioner 9931328044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minot Health Clinic, PLLCGroup PAC ID 0143449439, 2 clinicians

Practice addresses (Care Compare)

1021 20TH Ave SW
Suite 113
Minot, ND 58701-6487
Phone (701) 837-1851

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minot Health Clinic, PLLC CurrentSince Oct 1, 2020 Accepting new patients
Pospishil and Associates, PLLC PastSince Apr 3, 2019 Accepting new patients

Locations

1021 20th Ave SW
Ste 113
Minot, ND 58701
Phone (701) 837-1551

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22649/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sandra.storey.1@22649.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1417364126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 20TH AVE SW STE 113",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016487",
            "telephone_number": "701-837-1551",
            "fax_number": "701-837-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 20TH AVE SW STE 113",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016487",
            "telephone_number": "701-837-1551",
            "fax_number": "701-837-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOREY",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R24098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.