STORM BRADLEY VAUGHN AA
NPI 1780179333
Anesthesiologist Assistant in Fort Wayne, IN
About Storm Bradley Vaughn Aa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STORM BRADLEY VAUGHN AA (NPI 1780179333) is an individual anesthesiologist assistant in Fort Wayne, Indiana, licensed in Florida (AA484) and active in the NPI registry since June 2018. He maintains a secondary practice location in Tallahassee and is a graduate of Emory University School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Storm Bradley Vaughn Aa 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
5Medicare enrollment records show Storm Vaughn reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Thomasville, GA 31792
- Reassigned Medicare billing, Georgia enrollment
- 46 clinicians in this Medicare group
Tallahassee, FL 32308
- Reassigned Medicare billing, Florida enrollment
- 171 clinicians in this Medicare group
Lady Lake, FL 32159
- Reassigned Medicare billing, Florida enrollment
- 230 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Florida enrollment
- 1,887 clinicians in this Medicare group
Aventura, FL 33180
- Reassigned Medicare billing, Florida enrollment
- 435 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
FORT WAYNE, IN 46845
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 Storm Vaughn's NPI number?
The NPI number for Storm Vaughn is 1780179333. It was assigned to this individual provider in the NPPES registry on June 26, 2018.
Where is Storm Vaughn located?
Storm Vaughn practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 425-6030.
What is Storm Vaughn's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Storm Vaughn enrolled in Medicare?
Yes. Storm Vaughn 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 Storm Vaughn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Storm Vaughn reassigns Medicare benefits to 5 organizations: South Georgia Anesthesia Associates, PC (Thomasville, GA), Anesthesiology Associates Of Tallahassee, Inc. (Tallahassee, FL), St. Lucie Anesthesia Associates, LLC (Lady Lake, FL), Anesthesia Dynamics LLC (Bradenton, FL) and Miami Anesthesia Services LLC (Aventura, FL). 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 Storm Vaughn'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 Storm Vaughn was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Storm Bradley Vaughn, AA · NPI 1780179333
Anesthesiologist Assistant physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since June 26, 2018.
## Identity
- **NPI:** 1780179333 (Entity type: Individual)
- **Enumerated:** June 26, 2018
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** AA484 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845
- **Phone:** (260) 425-6030 · **Fax:** (260) 425-6028
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): South Georgia Anesthesia Associates, PC (NPI 1285605733, Thomasville, GA); Anesthesiology Associates Of Tallahassee, Inc. (NPI 1386469385, Tallahassee, FL); St. Lucie Anesthesia Associates, LLC (NPI 1821660523, Lady Lake, FL); Anesthesia Dynamics LLC (NPI 1073001012, Bradenton, FL); Miami Anesthesia Services LLC (NPI 1821475179, Aventura, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** October 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780179333) · Data from the CMS NPPES public registry.