MICHELLE DIANE STOLLER (LCSW, LIMHP) – Clinical Social Worker, NPI 1043680622

MICHELLE DIANE STOLLER (LCSW, LIMHP) is a healthcare provider. based in Kearney, Nebraska. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW, LIMHP. They hold a License No. 1744 (NE). The NPI Number for MICHELLE DIANE STOLLER (LCSW, LIMHP) is 1043680622

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE DIANE STOLLER (LCSW, LIMHP)
NPI
1043680622
Phone
(308) 455-1560
Address
2222 2nd Ave Ste 802
Enumeration Date
25 September 2015
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3083825297211
Graduation Year
2015 (11 years ago)
PAC ID
1153682794
Group Practice PAC ID
3173571320
Professional Enrollment ID
I20180223000124
Address ID
NE688035271GR2608XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

314 CLINICAL SOCIAL WORKER in NE

Provider Addresses for MICHELLE DIANE STOLLER (LCSW, LIMHP)

  • 2222 2nd Ave Ste 802

    Kearney, NE 688475354

    Phone: (308) 455-1560

    Fax: (308) 382-5315

    Type: Location

  • 2608 OLD FAIR RD

    GRAND ISLAND, NE 688035271

    Phone: (308) 382-5297

    Fax: (308) 382-5315

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180223000124IClinical Social WorkerNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour23118$0
View full utilization report →

Insurance plans in this area (ZIP 68847)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173571320View full group profile
NameSpecialtyState
Mental Health CounselorNE
Clinical Social WorkerNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Clinical Social WorkerNE
Clinical Social WorkerNE
Clinical Social WorkerNE
Clinical Social WorkerNE
Clinical Social WorkerWY

Reviews

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Frequently asked questions

How do payers reference MICHELLE DIANE STOLLER (LCSW, LIMHP)?
For MICHELLE DIANE STOLLER (LCSW, LIMHP), use NPI 1043680622 as the unique 10-digit identifier.
Would MICHELLE DIANE STOLLER (LCSW, LIMHP) appear as active to a payer?
You can treat MICHELLE DIANE STOLLER (LCSW, LIMHP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MICHELLE DIANE STOLLER (LCSW, LIMHP)?
MICHELLE DIANE STOLLER (LCSW, LIMHP) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MICHELLE DIANE STOLLER (LCSW, LIMHP)?
Directory geography for MICHELLE DIANE STOLLER (LCSW, LIMHP) centers on Kearney, Nebraska.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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