DANIEL SIMON STOUT PA-C
NPI 1053838169
Physician Assistant - Medical in Grand Rapids, MI

Active since August 29, 2017PECOS EnrolledAccepts Medicare Assignment
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504(616) 235-1480 Get Directions Write a Review

NPPES record last updated: August 29, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel Simon Stout Pa-c NPPES

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

DANIEL SIMON STOUT PA-C (NPI 1053838169) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601008348) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053838169
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDANIEL SIMON STOUTCredential: PA-C
Location Address669 STOCKING AVE NWGrand Rapids, MI 49504-5176
Mailing Address12576 Point DrGowen, MI 49326-9718
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 29, 2017
NPI 1053838169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601008348
669 STOCKING AVE NW, Grand Rapids, MI 49504

Accepted 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

Daniel Simon Stout 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 ID3678848405
PECOS Enrollment IDI20171004002971
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
34 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims39 services$1.21 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier11 claims11 services$10.46 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$41.14 avg. paid by Medicare
Trapeze bar, free standing, complete with grab bar E0940
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$14.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker (Clinical)
669 STOCKING AVE NW
GRAND RAPIDS, MI 49504
Community Health Worker
669 STOCKING AVE NW
GRAND RAPIDS, MI 49504
Obstetrics & Gynecology
669 STOCKING AVE NW
GRAND RAPIDS, MI 49504
Dental Hygienist
669 STOCKING AVE NW
GRAND RAPIDS, MI 49504
Social Worker (Clinical)
669 STOCKING AVE NW
GRAND RAPIDS, MI 49504
Registered Nurse
669 STOCKING AVE NW
GRAND RAPIDS, MI 49504
Registered Nurse (Lactation Consultant)
669 STOCKING AVE NW
GRAND RAPIDS, MI 49504
Community Health Worker
669 STOCKING AVE NW
GRAND RAPIDS, MI 49504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Stout's NPI number?

The NPI number for Daniel Stout is 1053838169. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Daniel Stout located?

Daniel Stout practices at 669 Stocking Ave NW, Grand Rapids, MI 49504. The listed phone number is (616) 235-1480.

What is Daniel Stout's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Daniel Stout enrolled in Medicare?

Yes. Daniel Stout is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Daniel Stout accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Daniel Stout as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Stout affiliated with any hospitals?

According to CMS data, Daniel Stout is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Daniel Stout was last updated on August 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.