Individual provider Active NPI

Carmela Marie Boller, APRN

  • Family Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1265289003
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-83128-031 Issued in KS
Practice address
325 Maine St
Lawrence, KS 66044-1360
Phone
(785) 505-5775
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-83128-031 KS Primary

Addresses

Primary practice location

325 Maine St
Lawrence, KS 66044-1360

Mailing address

325 Maine Street
Mso Library
Lawrence, KS 66044
Phone (785) 505-2988

Other practice location 1

1101 SW 29th St
Topeka, KS 66611-1200
Phone (785) 379-4600

Other practice location 2

8919 Parallel Pkwy Ste 250
Kansas City, KS 66112-1655
Phone (913) 596-3152

Other practice location 3

3550 S 4th St Ste 110
Leavenworth, KS 66048-5061
Phone (913) 680-6200

Other identifiers 1

IdentifierTypeStateIssuer
30005159780001MedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carmela.boller@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240525000281 KS Practitioner - Nurse Practitioner 8325480080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-3350

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137
  • Saint John Hospital Hospital, Leavenworth, KS, CCN 170009
  • Lawrence Memorial Hospital SNF Nursing home, Lawrence, KS, CCN 175151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-83128-031KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Apr 1, 2025 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Apr 1, 2025 Accepting new patients
Lawrence Physicians LLC CurrentSince Apr 30, 2025 Accepting new patients
Lawrence Physicians LLC CurrentSince Apr 30, 2025 Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

8919 Parallel Pkwy
Ste 250
Kansas City, KS 66112
Phone (913) 335-6000

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

3550 S 4th St
Ste 110
Leavenworth, KS 66048
Phone (913) 680-6200

3550 S 4th St
Ste 200
Leavenworth, KS 66048
Phone (913) 680-6442

Interoperability endpoints

  • Direct secure messaging: cboller1161288@ahs.direct-ci.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1265289003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE STREET",
            "address_2": "MSO LIBRARY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-505-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAINE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441360",
            "telephone_number": "785-505-5775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 SW 29th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666111200",
            "country_code": "US",
            "telephone_number": "785-379-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8919 Parallel Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121655",
            "country_code": "US",
            "telephone_number": "913-596-3152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 S 4th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485061",
            "country_code": "US",
            "telephone_number": "913-680-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLER",
        "first_name": "CARMELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83128-031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005159780001",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carmela.boller@direct.lmh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "325 Maine St",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.