LESLIE STORK CNM
NPI 1255815478
Advanced Practice Midwife in Ithaca, NY
About Leslie Stork Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LESLIE STORK CNM (NPI 1255815478) is an individual advanced practice midwife in Ithaca, New York, licensed in Michigan (4704306112) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Leslie Stork Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Leslie Stork reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Battle Creek, MI 49017
- Reassigned Medicare billing, Michigan enrollment
- 557 clinicians in this Medicare group
Kalamazoo, MI 49007
- Reassigned Medicare billing, Michigan enrollment
- 1,133 clinicians in this Medicare group
South Haven, MI 49090
- Reassigned Medicare billing, Michigan enrollment
- 190 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bronson Methodist Hospital
Acute Care Hospitals · Kalamazoo, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Leslie Stork's NPI number?
The NPI number for Leslie Stork is 1255815478. It was assigned to this individual provider in the NPPES registry on September 24, 2018.
Where is Leslie Stork located?
Leslie Stork practices at 20 Arrowood Dr, Ithaca, NY 14850. The listed phone number is (607) 274-4322.
What is Leslie Stork's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Leslie Stork enrolled in Medicare?
Yes. Leslie Stork is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Leslie Stork's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Stork reassigns Medicare benefits to 3 organizations: Bronson Battle Creek Hospital (Battle Creek, MI), Bronson Methodist Hospital (Kalamazoo, MI) and Bronson South Haven Hospital (South Haven, MI). Each 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 Leslie Stork's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Leslie Stork accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Leslie Stork as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Leslie Stork affiliated with any hospitals?
According to CMS data, Leslie Stork is affiliated with Bronson Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Leslie Stork was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Leslie Stork, CNM · NPI 1255815478
Advanced Practice Midwife physician in Ithaca, New York. Individual provider, active in the CMS NPPES registry since September 24, 2018.
## Identity
- **NPI:** 1255815478 (Entity type: Individual)
- **Enumerated:** September 24, 2018
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 4704306112 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 ARROWOOD DR, Ithaca, NY 14850-1869
- **Phone:** (607) 274-4322 · **Fax:** (607) 274-4587
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Bronson Battle Creek Hospital (NPI 1093119638, Battle Creek, MI); Bronson Methodist Hospital (NPI 1417961137, Kalamazoo, MI); Bronson South Haven Hospital (NPI 1174749170, South Haven, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1255815478) · Data from the CMS NPPES public registry.