Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kacie Stoll

Individual provider Nurse Practitioner · NPI 1770099079

Kacie Stoll is a Nurse Practitioner in Clinton Township, Michigan. Qualified in 2017, 9 years ago. Practices with Midwest Center for Dermatology and Pathology PLLC, a 49-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017

Practice location Address checks out

43900 Garfield Rd Ste 100
Clinton Township, MI 48038-1137
Phone: (586) 286-0112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704309495 (MI)

Record details

NPI number1770099079
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 21, 2017
Last updated in NPPESDecember 21, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Midwest Center For Dermatology And Pathology Pllc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clinton Township