KIMBERLY C STOLL PA-C
NPI 1134769458
Physician Assistant in Minneapolis, MN

Q: What is Kimberly Stoll's NPI number?

The NPI number for Kimberly Stoll is 1134769458. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Q: What is Kimberly Stoll's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Stoll was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 14, 2020PECOS EnrolledAccepts Medicare Assignment

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6700 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Jun 2, 2023, Oct 18, 2022 and 1 more (4 updates tracked since 2020).

On this page

About Kimberly C Stoll Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY C STOLL PA-C (NPI 1134769458) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (15318) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1134769458

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMBERLY C STOLLCredential: PA-C

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450

Phone(612) 672-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 14, 2020

Last NPPES UpdateJune 20, 20254 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1134769458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MN · 15318✔ Licensed in MA · PA8921

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Boston Medical Center Place, BCD, 1st FloorBoston, MA 02118-2908 · Phone (617) 414-5481 · Fax (617) 414-7759

Other Identifiers 2

Medicaid3138968NH

Medicaid110189769AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly C Stoll Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002247582

PECOS Enrollment IDI20250630001583

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

17 services17 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE IRENE GRAY

Rehabilitation Practitioner