Individual provider Active NPI

Jill Marie Stoks, PHMNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Walnut Grove, MN
National Provider Identifier
1750993317
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12696 Issued in MN
Practice address
13526 Camp Ave
Walnut Grove, MN 56180-5343
Phone
(507) 626-5638
Fax
(507) 308-5870
NPI assigned
Aug 17, 2020
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12696 MN Primary
Registered Nurse 163W00000X 2321062 MN

Addresses

Primary practice location

13526 Camp Ave
Walnut Grove, MN 56180-5343

Mailing address

1212 E College Dr
Marshall, MN 56258-2713
Phone (507) 532-3236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20250424001756 MN Practitioner - Nurse Practitioner 8527583509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Mental Health Center, Inc.Group PAC ID 7315856119, 22 clinicians

Practice addresses (Care Compare)

1212 E College Dr
Marshall, MN 56258-2010
Phone (507) 532-3236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2321062MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
True North Psychiatry, PLLC CurrentSince Jul 22, 2025 Accepting new patients
Proconcierge Nursing Service, LLC CurrentSince Oct 25, 2020 Accepting new patients
Western Mental Health Center, Inc. CurrentSince Apr 14, 2025 Accepting new patients

Locations

1212 E College Dr
Marshall, MN 56258
Phone (507) 532-3236

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1750993317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582713",
            "telephone_number": "507-532-3236",
            "fax_number": "507-308-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13526 CAMP AVE",
            "city": "WALNUT GROVE",
            "state": "MN",
            "postal_code": "561805343",
            "telephone_number": "507-626-5638",
            "fax_number": "507-308-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKS",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "PHMNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "12696",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2321062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Grove, MN

Sources for this page

Verify at the official NPI Registry.