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

DR. KARISSA JANISSE BADILLO STORER DPM
NPI 1417692260
Podiatrist - Foot & Ankle Surgery in Fort Myers, FL

Q: What is Karissa Badillo Storer's NPI number?

The NPI number for Karissa Badillo Storer is 1417692260. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Q: What is Karissa Badillo Storer's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Active since May 04, 2022PECOS Enrolled

8350 RIVERWALK PARK BLVD STE 1, FORT MYERS, FL 33919(239) 343-3044(239) 468-7962 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, May 6, 2022 (2 updates tracked since 2022).

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About Dr. Karissa Janisse Badillo Storer Dpm NPPES

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

DR. KARISSA JANISSE BADILLO STORER DPM (NPI 1417692260) is an individual foot & ankle surgery provider in Fort Myers, Florida, licensed in Florida (PO4761) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417692260

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameDR. KARISSA JANISSE BADILLO STORERCredential: DPM

Location Address8350 RIVERWALK PARK BLVD STE 1Fort Myers, FL 33919-8759

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3044 · Fax (239) 468-7962

Phone(239) 343-3044

Fax(239) 468-7962

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 4, 2022

Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1417692260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in FL · PO4761✔ Licensed in OH · 36.004184

Also ListedPodiatristTaxonomy 213E00000X · License 36.004184 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8350 RIVERWALK PARK BLVD STE 1, Fort Myers, FL 33919

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Secondary Practice Locations 2

Location 11400 Locust St Rm 9520Pittsburgh, PA 15219-5114 · Phone (412) 647-5815

Location 2350 W Wilson Bridge Rd Ste 200Worthington, OH 43085-2591 · Phone (614) 895-8747 · Fax (614) 895-8810

Other Identifiers 1

Medicaid131057900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karissa Janisse Badillo Storer Dpm 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 ID5799204848

PECOS Enrollment IDI20250522000363

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.

Hospital Affiliations CMS Care Compare 2

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360017

Location111 South Grant AvenueColumbus, OH 43215 · Franklin County

Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360348

Location7500 Hospital AvenueDublin, OH 43016 · Franklin County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

ORTHOPEDIC CENTER OF FLORIDA, INC

Durable Medical Equipment & Medical Supplies