Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARY WHITE STORM MD
NPI 1265920516
Psychiatry & Neurology - Neurology in Lafayette, IN

Active since April 23, 2018PECOS EnrolledAccepts Medicare Assignment
1701 S CREASY LN, LAFAYETTE, IN 47905(765) 502-4400(765) 502-4401 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2026, Sep 9, 2026, Aug 27, 2026 and 2 more (5 updates tracked since 2018).

About Dr. Mary White Storm Md NPPES

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

DR. MARY WHITE STORM MD (NPI 1265920516) is an individual neurology provider in Lafayette, Indiana, licensed in Indiana (01100126A) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1265920516
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MARY WHITE STORMCredential: MD
Location Address1701 S CREASY LNLafayette, IN 47905-4972
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(765) 502-4401
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2018
Enumeration DateApril 23, 2018
Last NPPES UpdateOctober 7, 20265 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1265920516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in IN · 01100126A✔ Licensed in NC · 2026-03021✔ Licensed in WA · MD61401511✔ Licensed in WI · 15263-320✔ Licensed in OR · MD194613✔ Licensed in GA · 111364✔ Licensed in TN · 75892✔ Licensed in LA · 351860
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedHospitalistTaxonomy 208M00000X · License 75892 (TN)
1701 S CREASY LN, Lafayette, IN 47905

Secondary Practice Locations 8

Location 1111 Hospital DrTarboro, NC 27886-2011 · Phone (252) 641-7700
Location 21000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-1000 · Fax (678) 312-3282
Location 3915 6th AveTacoma, WA 98405-4682 · Phone (253) 555-5555
Location 415790 Paul Vega Md DrHammond, LA 70403-1436 · Phone (985) 345-2700 · Fax (985) 230-6652
Location 5130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-4000
Location 619300 SW 65th AveTualatin, OR 97062-7706 · Phone (503) 413-6166
Location 7410 N State of Franklin Rd Ste 135Johnson City, TN 37604-6972 · Phone (423) 431-2477
Location 8515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-1000 · Fax (608) 324-2469

Other Identifiers 1

Other351860LA · License

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

Dr. Mary White Storm Md 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.

PECOS PAC ID1355692880
PECOS Enrollment IDI20230703002864, I20251219002115, I20260102001075
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 Reassignments

8

Medicare enrollment records show Mary Storm reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1045 WYATT WAY
Lizton, IN 46149
  • Reassigned Medicare billing, Indiana enrollment
  • 401 clinicians in this Medicare group
Internal Medicine
601 COMMONWEALTH DR
Norton, VA 24273
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
Obstetrics & Gynecology
900 W MAIN ST, HEALTH LINK OF ROGERSVILLE
Rogersville, TN 37857
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
General Acute Care Hospital
15790 PAUL VEGA MD DR
Hammond, LA 70403
  • Reassigned Medicare billing, Louisiana enrollment
  • 310 clinicians in this Medicare group
General Acute Care Hospital
15 HOSPITAL DR
York, ME 03909
  • Reassigned Medicare billing, Maine enrollment
  • 347 clinicians in this Medicare group
Internal Medicine
15533 E BROADWAY AVE
Spokane Valley, WA 99037
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Rural Health
1190 RIDDLE STREET
Darrington, WA 98241
  • Reassigned Medicare billing, Washington enrollment
  • 463 clinicians in this Medicare group
Family Medicine
22850 NE 8TH ST, STE 103
Sammamish, WA 98074
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: King County Public Hospital District No 2
  • 1,074 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 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Occupational Therapist
1701 S CREASY LN
LAFAYETTE, IN 47905
Hospitalist
1701 S CREASY LN
LAFAYETTE, IN 47905
Physician Assistant
1701 S CREASY LN
LAFAYETTE, IN 47905
Registered Nurse
1701 S CREASY LN
LAFAYETTE, IN 47905
Pathology (Anatomic Pathology & Clinical Pathology)
1701 S CREASY LN
LAFAYETTE, IN 47905
Emergency Medicine
1701 S CREASY LN
LAFAYETTE, IN 47905
Registered Nurse (Obstetric, Inpatient)
1701 S CREASY LN
LAFAYETTE, IN 47905
Hospitalist
1701 S CREASY LN
LAFAYETTE, IN 47905

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 Mary Storm's NPI number?

The NPI number for Mary Storm is 1265920516. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Mary Storm located?

Mary Storm practices at 1701 S Creasy Ln, Lafayette, IN 47905. The listed phone number is (765) 502-4400.

What is Mary Storm's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mary Storm enrolled in Medicare?

Yes. Mary Storm 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 Mary Storm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Storm reassigns Medicare benefits to 8 organizations: Hendricks County Hospital (Lizton, IN), Wellmont Medical Associates, Inc. (Norton, VA), Blue Ridge Medical Management Corporation (Rogersville, TN), North Oaks Medical Center, LLC (Hammond, LA), York Hospital (York, ME) and 3 more organizations, listed in the Medicare section above. 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 Mary Storm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Storm accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Mary Storm 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 Mary Storm affiliated with any hospitals?

According to CMS data, Mary Storm is affiliated with York Hospital, Wellmont Holston Valley Medical Center, Johnson City Medical Center, Skagit Valley Hospital and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Mary Storm was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.