Individual provider Active NPI

Meredith Ann Stormer, NP

  • Nurse Practitioner
  • Canon City, CO
National Provider Identifier
1730856998
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.1001411-NP Issued in CO
Practice address
3245 E US Highway 50 Unit E
Canon City, CO 81212-9343
Phone
(719) 285-2888
Fax
(719) 285-2889
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.1001411-NP CO Primary
Family Nurse Practitioner 363LF0000X AP61214164 WA

Addresses

Primary practice location

3245 E US Highway 50 Unit E
Canon City, CO 81212-9343

Mailing address

485 Vanderbilt CT
Colorado Springs, CO 80906-7242
Phone (360) 763-7040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20211229001628 WA Practitioner - Nurse Practitioner 7911398961 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

3556 Market PL W
Suite 109
University Place, WA 98466-4339
Phone (253) 215-1122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Jan 8, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Providence Health & Services Washington CurrentSince Aug 29, 2022 Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Sep 24, 2021 Accepting new patients
Multicare Health System CurrentSince Nov 17, 2021 Accepting new patients
Franciscan Medical Group CurrentSince Jan 8, 2024 Accepting new patients
Grays Harbor County Public Hospital District No 1 Current Accepting new patients
Grays Harbor County Public Hospital District No. 1 CurrentSince Sep 24, 2021 Accepting new patients
Multicare Health System CurrentSince Nov 17, 2021 Accepting new patients

Locations

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

610 E Main St
Elma, WA 98541
Phone (360) 346-2222

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

2555 Marvin Rd NE
Lacey, WA 98516
Phone (360) 413-4200

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

3556 Market Pl W
Ste 109
University Place, WA 98466
Phone (253) 215-1095

Organizations & group practices 9

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1730856998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 VANDERBILT CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067242",
            "telephone_number": "360-763-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 E US HIGHWAY 50 UNIT E",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129343",
            "telephone_number": "719-285-2888",
            "fax_number": "719-285-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORMER",
        "first_name": "MEREDITH",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.1001411-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61214164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.