Individual provider Active NPI

Kendra Stormo

  • Nurse Practitioner
  • Del City, OK
National Provider Identifier
1578443917
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
225515 Issued in OK
Practice address
1491 S Sunnylane Rd
Del City, OK 73115-3037
Phone
(405) 437-2235
Fax
(661) 231-3153
NPI assigned
Sep 5, 2025
Last updated
Mar 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 225515 OK Primary

Addresses

Primary practice location

1491 S Sunnylane Rd
Del City, OK 73115-3037

Mailing address

1491 S Sunnylane Rd
Del City, OK 73115-3037
Phone (405) 437-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20251027004705 OK Practitioner - Nurse Practitioner 6709375157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatric Wellness Aprn-CNP PLLCGroup PAC ID 0244665156, 11 clinicians

Practice addresses (Care Compare)

214 W Broadway Ave
Elk City, OK 73644-4742
Phone (405) 437-2235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225515OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Wellness Aprn-CNP PLLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

214 W Broadway Ave
Elk City, OK 73644
Phone (405) 437-2235

1491 S Sunnylane Rd
Oklahoma City, OK 73115
Phone (405) 437-2235

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": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1578443917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 S SUNNYLANE RD",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153037",
            "telephone_number": "405-437-2240",
            "fax_number": "661-231-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 S SUNNYLANE RD",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153037",
            "telephone_number": "405-437-2235",
            "fax_number": "661-231-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMO",
        "first_name": "KENDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "225515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del City, OK

Sources for this page

Verify at the official NPI Registry.