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CAROLYN M STORDEUR DO
NPI 1174264428
Student in an Organized Health Care Education/Training Program in Anchorage, AK

Active since April 01, 2022PECOS Enrolled
1201 E 36TH AVE, ANCHORAGE, AK 99508(907) 562-9229(907) 562-1603 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carolyn M Stordeur Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN M STORDEUR DO (NPI 1174264428) is an individual student in an organized health care education/training program in Anchorage, Alaska and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174264428
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROLYN M STORDEURCredential: DO
Location Address1201 E 36TH AVEAnchorage, AK 99508-4372
Mailing AddressPo Box 4105Portland, OR 97208-4105 · (866) 907-1068 · Fax (425) 917-9141
Phone(907) 562-9229
Fax(907) 562-1603
Sole ProprietorNo
Enumeration DateApril 1, 2022
NPPES CertifiedApril 1, 2022
✔ NPI 1174264428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1201 E 36TH AVE, Anchorage, AK 99508
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn M Stordeur Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Stordeur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arctic Slope Native Association Ltd
725 mi
Critical Access
7000 UULA STREET
Barrow, AK 99723
  • Reassigned Medicare billing, Alaska enrollment
  • 118 clinicians in this Medicare group
NPI 1306933643 (907) 852-9201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMOND PASTORINO PHD
Psychologist
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
DR. WILLIAM MURRAY BUTTNER MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
ROBERT L MCALISTER MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-2992
SAMUEL C CASTLES MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
EMMA F MAYFIELD DO
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
MATTHEW A COLLICOTT DO
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
MARIN GRANHOLM MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229
ASHLEY L FRANKLIN MD
Family Medicine
1201 E 36TH AVE
ANCHORAGE, AK 99508
Anchorage Municipality (907) 562-9229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Stordeur's NPI number?

The NPI number for Carolyn Stordeur is 1174264428. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Carolyn Stordeur located?

Carolyn Stordeur practices at 1201 E 36th Ave, Anchorage, AK 99508. The listed phone number is (907) 562-9229.

What is Carolyn Stordeur's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carolyn Stordeur enrolled in Medicare?

Yes. Carolyn Stordeur is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolyn Stordeur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Stordeur reassigns Medicare benefits to Arctic Slope Native Association Ltd (Barrow, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Stordeur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carolyn Stordeur was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.