Individual provider Active NPI

Shawnti Storm, NP

  • Nurse Practitioner
  • Trumansburg, NY
National Provider Identifier
1861411613
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
334536 Issued in NY
Practice address
4435 Seneca Rd
Trumansburg, NY 14886-9201
Phone
(607) 387-5707
NPI assigned
Jul 19, 2006
Last updated
Apr 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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 334536 NY Primary

Addresses

Primary practice location

4435 Seneca Rd
Trumansburg, NY 14886-9201

Mailing address

4435 Seneca Rd
Trumansburg, NY 14886-9201
Phone (607) 387-5707

Other identifiers 1

IdentifierTypeStateIssuer
02672035MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051004000702 NY Practitioner - Nurse Practitioner 6406881820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trumansburg Medicine PLLCGroup PAC ID 5395846794, 6 clinicians

Practice addresses (Care Compare)

4435 Seneca Rd
Trumansburg Family Health Center
Trumansburg, NY 14886-9201
Phone (607) 387-5707

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Em-I Medical Services PC Past Accepting new patients
Ny Urgent Care Practice, P.C. PastSince Jun 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sstorm@hiemail.healtheconnections.org
  • Direct secure messaging: sstormnp@trumansburgfamilyhealth.medentdirect.com

Organizations & group practices 3

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 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1861411613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 SENECA RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869201",
            "telephone_number": "607-387-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 SENECA RD",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869201",
            "telephone_number": "607-387-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "SHAWNTI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "334536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02672035",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumansburg, NY

Sources for this page

Verify at the official NPI Registry.