Nicole Marie Stall, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A110196 Issued in IA

Practice address

3205 Zenith Ave Unit 2
Spirit Lake, IA 51360-1084

Phone

(319) 400-3085

NPI assigned

Feb 12, 2010

Last updated

Jun 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Skin Studio PCGroup PAC ID 6608383799, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology Skin Studio PC

  dba Dermatology Skin Studio

  • Dermatology Physician
  • Spirit Lake, IA
  • NPI 1245123835

  Family

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1346572518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 ZENITH AVE UNIT 2",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601084",
            "telephone_number": "319-400-3085",
            "fax_number": "712-215-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 ZENITH AVE UNIT 2",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601084",
            "telephone_number": "319-400-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALL",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A110196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A110196",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Municipal Hospital (Warner Dialysis Center- Spirit Lake)
• Spirit Lake C.S.D.
• Spirit Lake Chiropractic Clinic
• Spirit Lake Senior Operator, LLC (Keelson Harbour Senior Living)
• St Croix Hospice LLC (St. Croix Hospice)
• Paige Nicole Steffen Frick, DC
• Steven a Moore
• Still Waters Therapy
• Ami J. Swanson, FNP-C
• Tarra Vander Leest OD PC

• Family Nurse Practitioner in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.

Verify at the official NPI Registry.