Active NPI
Lillian Misle Stoller, M.D.
- Psychiatry Physician
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- NE14023
- Practice address
- 6901 N 72ND St
Omaha, NE 68122-1709 - Phone
- (402) 572-2951
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NE14023 | NE | Primary |
| Psychosomatic Medicine Physician | 2084P0015X | NE14023 | NE |
Addresses
Primary practice location
6901 N 72ND St
Omaha, NE 68122-1709
Mailing address
10110 Nicholas St
Suite #103
Omaha, NE 68114-2184
Phone (402) 398-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NE14023 | NE | MD | Psychosomatic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Health | Current | Accepting new patients | |
| Alegent Creighton Health | Psychiatry | Current | Accepting new patients |
| Center of Dermatology, PC | Past | Accepting new patients | |
| Alegent Health Bergan Mercy Health System | Psychiatry | Past | Accepting new patients |
| Alegent Health Bergan Mercy Health System | Past | Accepting new patients | |
| Alegent Health Immanuel Medical Center | Past | Accepting new patients |
Locations
2771 Solution Ctr
Chicago, IL 60677
7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905
6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
16909 Lakeside Hills Ct
Ste 400
Omaha, NE 68130
Phone (402) 758-5850
Interoperability endpoints
- lstoller46861@achce.catholichealth.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Lincoln, NE
- NPI 1598423220
-
- Psychiatry Physician
- Omaha, NE
- NPI 1184897647
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
- Cardiovascular Disease Physician
- Omaha, NE
- NPI 1912192907
-
- Dermatology Physician
- Omaha, NE
- NPI 1053461137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1215910369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10110 NICHOLAS ST",
"address_2": "SUITE #103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142184",
"telephone_number": "402-398-9200",
"fax_number": "402-398-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 N 72ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681221709",
"telephone_number": "402-572-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLLER",
"first_name": "LILLIAN",
"middle_name": "MISLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "NE14023",
"primary": true
},
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "NE",
"license": "NE14023",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.