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
Mailing address4621 Forest Ave, Waterford, MI 48328-1117

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