Individual provider Active NPI

Kylee Marie Stornes, PA

  • Physician Assistant
  • Zanesville, OH
National Provider Identifier
1790290823
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
950 Bethesda Dr BLDG 5
Zanesville, OH 43701
Phone
(740) 586-6828
NPI assigned
Dec 12, 2017
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

950 Bethesda Dr BLDG 5
Zanesville, OH 43701

Mailing address

950 Bethesda Dr
Zanesville, OH 43701-7507
Phone (740) 586-6828

Other practice location 1

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841

Other practice location 2

950 Bethesda Dr Bldg 5
Zanesville, OH 43701
Phone (740) 586-6828

Other names 1

  • Kylee Marie Tuchfarber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180122000869 OH Practitioner - Physician Assistant 0840559860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

1246 Ashland Ave
Zanesville, OH 43701-2861

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

945 Bethesda Dr
Zanesville, OH 43701-1880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC CurrentSince May 31, 2018 Accepting new patients
Genesis Medical Group, LLC CurrentSince May 31, 2018 Accepting new patients
Genesis Primary Care Physicians LLC Past Accepting new patients

Locations

2904 Bell St
Zanesville, OH 43701
Phone (740) 586-6828

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

950 Bethesda Dr
Zanesville, OH 43701
Phone (740) 450-3400

950 Bethesda Dr
Bldg 5
Zanesville, OH 43701
Phone (740) 454-4752

950 Bethesda Dr
Ste 1
Zanesville, OH 43701
Phone (740) 586-6828

Organizations & group practices 4

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 4

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": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1790290823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017507",
            "telephone_number": "740-586-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BETHESDA DR BLDG 5",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-586-6828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 Portland Way S",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448332312",
            "country_code": "US",
            "telephone_number": "419-468-4841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Bethesda Dr Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "43701",
            "country_code": "US",
            "telephone_number": "740-586-6828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORNES",
        "first_name": "KYLEE",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLEE",
            "last_name": "TUCHFARBER",
            "middle_name": "MARIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.