Individual provider Active NPI

Melia Stoll, APRN

  • Obstetrics & Gynecology Nurse Practitioner
  • Liberal, KS
National Provider Identifier
1821182460
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
44202 Issued in KS
Practice address
222 W 15TH St
Liberal, KS 67901
Phone
(620) 624-3811
Fax
(620) 624-3186
NPI assigned
Oct 3, 2006
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 44202 KS Primary

Addresses

Primary practice location

222 W 15TH St
Liberal, KS 67901

Mailing address

PO Box 1340
Liberal, KS 67905-1340
Phone (620) 624-3811

Other identifiers 2

IdentifierTypeStateIssuer
200428500AMedicaidKS
161821OtherKSMEDICARE ID

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040927000788 KS Practitioner - Nurse Practitioner 3779552740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical CenterGroup PAC ID 7517941651, 62 clinicians

Practice addresses (Care Compare)

222 W 15TH St
Knudsen Clinic
Liberal, KS 67901-2448
Phone (620) 624-3811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.79 of 100Reported as group
Quality
68.45
Promoting interoperability
100
Improvement activities
40
Cost
72.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Center CurrentSince Sep 3, 2024 Accepting new patients
Southwest Medical Center CurrentSince Sep 3, 2024 Accepting new patients
Southwest Medical Center Past Accepting new patients
Southwest Medical Center Past Accepting new patients

Locations

2130 N Kansas Ave
Liberal, KS 67901
Phone (316) 626-5060

222 W 15th St
Liberal, KS 67901
Phone (316) 624-3811

555 W 15th St
Liberal, KS 67901
Phone (620) 624-0702

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBGAA

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1821182460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1340",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679051340",
            "telephone_number": "620-624-3811",
            "fax_number": "620-624-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 15TH ST",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "67901",
            "telephone_number": "620-624-3811",
            "fax_number": "620-624-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "MELIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "KS",
            "license": "44202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200428500A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "161821",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

Verify at the official NPI Registry.