Sandra Ann Stom, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP010592 Issued in PA

Practice address

600 N 2ND St Ste 401
Harrisburg, PA 17101-1071

Phone

(860) 788-6404

Fax

(860) 398-6441

NPI assigned

Nov 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meditelecare of Pennsylvania LLCGroup PAC ID 8527488030, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Meditelecare of Pennsylvania LLC

  • Clinical Psychologist
  • Harrisburg, PA
  • NPI 1396351847
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1932437167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064578095",
            "telephone_number": "860-788-6404",
            "fax_number": "860-398-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 2ND ST STE 401",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171011071",
            "telephone_number": "860-788-6404",
            "fax_number": "860-398-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOM",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Richard Stoddart Sr., M.D.
• Casey Stokes
• Lisa K. Stokes, C.R.N.P.
• Myrakle Stokes
• Valerie Stoki
• Thomas Ryan Stoner, DO
• Margaret Mary Storch, PTA
• Seres Cynthia Storper
• Christopher James Story, CRNP
• Rebecca Elizabeth Stoudt, MS, NCC, LPC

• Family Nurse Practitioner in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.