Stephen G Nolker, MD
Individual provider Active NPI Hospitalist Physician · St Johnsbury, VT
NPI 1477545739 · NPPES record last updated Jun 4, 2020
Key facts
- NPI
- 1477545739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 042.0012850 (VT)
- Practice address
- 1315 Hospital Dr
St Johnsbury, VT 05819-9210 - Phone
- (802) 748-8141
- Fax
- (802) 748-4098
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
Hospital & facility affiliations
- Saint Luke'S Hospice
- Saint Lukes Hospice of Leavenworth, LLC
- St Lukes Hospital of Kansas City
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Saint Luke'S Home Care and Hospice |
Hospice | W-2 Managing Employee (100%) | Jan 1, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061211000467 | MO | Practitioner - Hospitalist |
7911906417 | Reassigns benefits to 1 organization |
| I20090304000207 | KS | Practitioner - Hospitalist |
7911906417 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Hospital of Garnett Inc | Current |
Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Family Medicine | Current |
Accepting new patients |
| Complete Coverage LLC | Family Medicine | Past | Accepting new patients |
| St Lukes Hospital of Kansas City | Past | Accepting new patients | |
| Kansas City Medical Partners LLC | Family Medicine | Past | Accepting new patients |
Locations
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
Interoperability endpoints
- snolker151613@direct.saint-lukes.org
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-27109 | KS | |
| Hospitalist Physician | 208M00000X | 2001018683 | MO | |
| Hospitalist Physician | 208M00000X | 042.0012850 | VT | Yes |
Addresses
Primary practice location
1315 Hospital Dr
St Johnsbury, VT 05819-9210
Mailing address
PO Box 905
St Johnsbury, VT 05819-0905
Phone (802) 748-8141
NPI Registry JSON
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1477545739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 905",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058190905",
"telephone_number": "802-748-8141",
"fax_number": "802-748-4098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 HOSPITAL DR",
"city": "ST JOHNSBURY",
"state": "VT",
"postal_code": "058199210",
"telephone_number": "802-748-8141",
"fax_number": "802-748-4098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLKER",
"first_name": "STEPHEN",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-27109",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2001018683",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VT",
"license": "042.0012850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Haylee Anna Newland
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All providers in St Johnsbury, VT · Hospitalist Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.