Amber J Stoll, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2010-0039 Issued in NM

Practice address

141 N Roadrunner Pkwy Ste 228
Las Cruces, NM 88011-2001

Phone

(575) 521-1177

NPI assigned

Oct 26, 2010

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

Medicare fee-for-service enrollment

Enrolled in NM

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

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology of New Mexico, LLCGroup PAC ID 4082919691, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amber.stoll@epiphanyderm.emadirect.md
• FHIR API: https://api.platform.athenahealth.com/25994/brand/1/csg/1/fhir/r4

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.

• Epiphany Dermatology of New Mexico, LLC

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1447615760
  Medicare reassignment Care Compare group
• Alteon Health New Mexico LLC

  • Emergency Medicine Physician
  • Hobbs, NM
  • NPI 1457636706
  Medicare reassignment
• Dermatology Consultants of Albuquerque PC

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1912990151
  NPD (past)
• Zencare Family Wellness LLC

  • Family Medicine Physician
  • Artesia, NM
  • NPI 1043950736
  NPD (past)

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1598065484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BLDG 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303255",
            "telephone_number": "512-759-8932",
            "fax_number": "512-233-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N ROADRUNNER PKWY STE 228",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880112001",
            "telephone_number": "575-521-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 West Country Club Rd.",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "88201",
            "country_code": "US",
            "telephone_number": "575-623-1442",
            "fax_number": "575-623-3835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLL",
        "first_name": "AMBER",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2010-0039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Paige Stine
• Cynthia Maria Stinnett, PTA
• Christine Miller Stites, M.S.,SLP-CCC
• Patricia M Stoddard, RN
• Weston Ronald Stokey, OMS-III, MPH
• Chanelle Rae Stoltenberg, LCSW
• Katherine Lorraine Stone
• Tracie Stone, ATC
• Allison Stoner, LCSW
• Maria L Stops, LMSW.,LPCC

• Medical Physician Assistant in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.