Stormy Denise Dismuke – Family Nurse Practitioner

Key facts

NPI: 1619293370
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 1-084124 (AL)
Practice address: 408 Martling Rd
Albertville, AL 35951-7208
Phone: (256) 891-7724
NPI assigned: Apr 20, 2010
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Palliative and Supportive Care Alliance, Inc Hospice and Palliative Medicine (Family Medicine) Physician · Albertville, AL · NPI 1225457757

Medicare reassignment NPD AL
Hospice of Marshall County, Inc. Community Based Hospice Care Agency · Albertville, AL · NPI 1194727362

NPD

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Hospice of Marshall County, Inc. Community Based Hospice Care Agency · Albertville, AL · NPI 1194727362

CMS ownership OPERATIONAL/MANAGERIAL CONTROL · W-2 MANAGING EMPLOYEE

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facility	Type	Role	Since
Shepherd'S Cove Hospice Albertville, AL · CCN 011513	Hospice	W-2 Managing Employee Operational/Managerial Control	Mar 1, 2022 Mar 1, 2022

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20170221002219	AL	Practitioner - Nurse Practitioner	3476837311	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science - Nursing, Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
Hospice of Marshall County, Inc.		Current	Accepting new patients
Palliative and Supportive Care Alliance, Inc		Current since Jan 1, 2014	Accepting new patients

Locations

408 Martling Rd
Ste A105
Albertville, AL 35951
Phone (256) 302-1663

408 Martling Rd
Albertville, AL 35951
Phone (256) 891-7724

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	1-084124	AL	Yes

Addresses

Primary practice location

408 Martling Rd
Albertville, AL 35951-7208

Mailing address

408 Martling Rd
Albertville, AL 35951-7208
Phone (256) 891-7724

Other providers in Albertville, AL

Rodney Keith Crowell, PHARMACIST
Eva Currier
Linda Michelle Davis
Dayspring Center for Christian Counseling Services, Inc.
Gina Denise Demuro, MS RD LD CDE
Cindy Doan, PHARMD
Doctors Med Care PC
Donald F. Slappey, M.D., P.C.
Katherine Dougherty-Basila, MD
Natosha T. Douglas, CRNP

All providers in Albertville, AL · Family Nurse Practitioner in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.