Individual provider Active NPI

Brea Nicole Sturm, MD

  • Dermatology Physician
  • Lees Summit, MO
National Provider Identifier
1710501184
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2020014570 Issued in MO
Practice address
601 NW Obrien Rd
Lees Summit, MO 64063-1806
Phone
(816) 287-1528
Fax
(816) 287-1528
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2020014570 MO Primary

Addresses

Primary practice location

601 NW Obrien Rd
Lees Summit, MO 64063-1806

Mailing address

601 NW Obrien Rd
Lees Summit, MO 64063-1806
Phone (816) 287-1528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821003284 MO Practitioner - Dermatology 9335563584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Southern Illinois University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Dermatology and Surgery Group PCGroup PAC ID 3870856669, 8 clinicians

Practice addresses (Care Compare)

601 NW Obrien Rd
Lees Summit, MO 64063-1806
Phone (816) 287-1528

Merit-based Incentive Payment System (MIPS)

Final score
87.09 of 100Reported as group
Quality
91.65
Improvement activities
40
Cost
68.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of skin lesions535
Removal or shaving of skin growth17
Skin biopsy213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1710501184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NW OBRIEN RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631806",
            "telephone_number": "816-287-1528",
            "fax_number": "816-287-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW OBRIEN RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631806",
            "telephone_number": "816-287-1528",
            "fax_number": "816-287-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURM",
        "first_name": "BREA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2020014570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.