CAMERON RYAN STORM (FNP-C) – Family Nurse Practitioner, NPI 1205698040

CAMERON RYAN STORM (FNP-C) is a healthcare provider. based in Chariton, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. A177727 (IA). The NPI Number for CAMERON RYAN STORM (FNP-C) is 1205698040

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON RYAN STORM (FNP-C)
NPI
1205698040
Phone
(515) 423-9353
Address
714 N 12TH ST
Enumeration Date
26 January 2024
Last Update Date
26 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6417743000
Graduation Year
2022 (4 years ago)
PAC ID
2163960915
Group Practice PAC ID
8921916792
Professional Enrollment ID
I20240812003979
Address ID
IA500491210CH1200XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for CAMERON RYAN STORM (FNP-C)

  • 714 N 12TH ST

    CHARITON, IA 500491112

    Phone: (515) 423-9353

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-04-14 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240812003979INurse PractitionerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50049)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921916792View full group profile
NameSpecialtyState
Physician AssistantIA
Family Practice, Obstetrics/GynecologyIA
Nurse PractitionerIA
Nurse PractitionerIA
Family PracticeIA
Nurse PractitionerIN
Physician AssistantIA
Family Practice, Geriatric MedicineIA
Physician AssistantIA
General PracticeIA

Reviews

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Frequently asked questions

Can I use this page to confirm CAMERON RYAN STORM (FNP-C)'s NPI?
Yes. CAMERON RYAN STORM (FNP-C) is listed with NPI 1205698040 in the public NPI dataset.
Does the file indicate CAMERON RYAN STORM (FNP-C) is practicing under active NPI?
Directory data currently reports CAMERON RYAN STORM (FNP-C) as active.
What is CAMERON RYAN STORM (FNP-C) best known for clinically?
Directory data describes CAMERON RYAN STORM (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does CAMERON RYAN STORM (FNP-C) serve?
CAMERON RYAN STORM (FNP-C)'s listing highlights Chariton, Iowa; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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