DR. BREA NICOLE STURM (MD) – Dermatology Physician, NPI 1710501184

DR. BREA NICOLE STURM (MD) is a healthcare provider. based in Lees summit, Missouri. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 2020014570 (MO). The NPI Number for DR. BREA NICOLE STURM (MD) is 1710501184

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. BREA NICOLE STURM (MD)
NPI
1710501184
Phone
(816) 287-1528
Address
601 NW OBRIEN RD
Enumeration Date
2 June 2020
Last Update Date
3 October 2024

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8162871528
Graduation Year
2020 (6 years ago)
PAC ID
9335563584
Group Practice PAC ID
3870856669
Professional Enrollment ID
I20240821003284
Address ID
MO640631806LE601XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

337 DERMATOLOGY in MO

Provider Addresses for DR. BREA NICOLE STURM (MD)

  • 601 NW OBRIEN RD

    LEES SUMMIT, MO 640631806

    Phone: (816) 287-1528

    Fax: (816) 287-1528

    Type: Mailing

  • 621 S NEW BALLAS RD STE 3019B

    SAINT LOUIS, MO 631418267

    Phone: (314) 509-5305

    Fax: (314) 251-4454

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $1,754.

Total Amount is formed as General ($1,754) + Research ($0) + Ownership ($0) = $1,754.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: GENZYME CORPORATION ($411).

Total Amount

$1,754

General + Research + Ownership

Payments

45

Total payment records

General Amount

$1,754

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2024-08-21

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
I20240821003284IDermatologyMOTBD

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 64063)

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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: 3870856669View full group profile
NameSpecialtyState
Physician AssistantSC
D E R M A T O L O G YFL
Physician AssistantMO
D E R M A T O L O G YMO
D E R M A T O L O G YKS

Reviews

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Frequently asked questions

How do I look up DR. BREA NICOLE STURM (MD) by NPI?
Use NPI 1710501184 when you need to reference DR. BREA NICOLE STURM (MD) in forms, claims, or directories.
Is DR. BREA NICOLE STURM (MD)'s NPI currently valid?
The extract we use shows DR. BREA NICOLE STURM (MD) as active.
What field does DR. BREA NICOLE STURM (MD) work in?
You can think of DR. BREA NICOLE STURM (MD) as practicing within Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. BREA NICOLE STURM (MD)?
The snapshot lists Lees Summit, Missouri for DR. BREA NICOLE STURM (MD); download NPPES for the complete set.
Is DR. BREA NICOLE STURM (MD) a real provider?
This page reflects official NPPES data for NPI 1710501184. Always confirm identity and privileges with the practice and licensing boards.

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