Active NPI
Carmela Marie Boller, APRN
- Family Nurse Practitioner
- Lawrence, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-83128-031
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30005159780001 | Medicaid | KS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-3350
Hospital & facility affiliations
- LMH
- Saint John Hospital
- Lawrence Memorial Hospital SNF
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-83128-031 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Physician Services - Providence Inc | Current | Accepting new patients | |
| Prime Healthcare Physician Services - Providence Inc | Current | Accepting new patients | |
| Lawrence Physicians LLC | Current | Accepting new patients | |
| Lawrence Physicians LLC | Current | 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
- 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.
-
- Hospitalist Physician
- Lawrence, KS
- NPI 1841607090
-
- General Practice Physician
- Shawnee, KS
- NPI 1356683213
-
- Urgent Care Clinic/Center
- Topeka, KS
- NPI 1457970782
-
- Surgery Physician
- Lawrence, KS
- NPI 1528603719
-
- General Practice Physician
- Leavenworth, KS
- NPI 1972119741
-
- Internal Medicine Physician
- Lawrence, KS
- NPI 1235136714
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
-
- General Acute Care Hospital
- Leavenworth, KS
- NPI 1568705267
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.