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

Kelly Elizabeth Stoll, PA-C

Individual provider Physician Assistant · NPI 1902121825

Kelly Elizabeth Stoll, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 2010, 16 years ago. Practices with Mercy Clinic Heart and Vascular LLC, a 111-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
16
Licensed in
IL, MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

621 S New Ballas Rd Ste 4006B
Saint Louis, MO 63141-8232
Phone: (314) 251-6486
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2010011164 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 085003719 (IL)

Record details

NPI number1902121825
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 3, 2010
Last updated in NPPESNovember 27, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mercy Clinic Heart And Vascular Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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