JACK STOUT CRNA
NPI 1104838234
Nurse Anesthetist, Certified Registered in Mcallen, TX
About Jack Stout Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK STOUT CRNA (NPI 1104838234) is an individual nurse anesthetist, certified registered in Mcallen, Texas, licensed in Texas (229533) and active in the NPI registry since August 2006. He is a graduate of Other (1980).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jack Stout Crna 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jack Stout reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Braunfels, TX 78130
- Reassigned Medicare billing, Texas enrollment
- 7 clinicians in this Medicare group
Burleson, TX 76028
- Reassigned Medicare billing, Texas enrollment
- 429 clinicians in this Medicare group
Fort Worth, TX 76109
- Reassigned Medicare billing, Texas enrollment
- 1,612 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MCALLEN, TX 78503
MCALLEN, TX 78503
MCALLEN, TX 78503
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 Jack Stout's NPI number?
The NPI number for Jack Stout is 1104838234. It was assigned to this individual provider in the NPPES registry on August 13, 2006.
Where is Jack Stout located?
Jack Stout practices at 222 E Ridge Rd Suite 204, Mcallen, TX 78503. The listed phone number is (956) 632-6020.
What is Jack Stout's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jack Stout enrolled in Medicare?
Yes. Jack 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.
Which organizations bill Medicare for Jack Stout's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Stout reassigns Medicare benefits to 3 organizations: Guardian Angel Anesthesia Services Ltd (New Braunfels, TX), Northstar Anesthesia II PA (Burleson, TX) and Emergenchealth PLLC (Fort Worth, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Stout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Stout accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Molina Healthcare list Jack 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.
When was this NPI record last updated?
The NPPES record for Jack Stout was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jack Stout, CRNA · NPI 1104838234
Nurse Anesthetist, Certified Registered physician in Mcallen, Texas. Individual provider, active in the CMS NPPES registry since August 13, 2006.
## Identity
- **NPI:** 1104838234 (Entity type: Individual)
- **Enumerated:** August 13, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 229533 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 222 E RIDGE RD, SUITE 204, Mcallen, TX 78503-1251
- **Phone:** (956) 632-6020 · **Fax:** (956) 630-6643
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Guardian Angel Anesthesia Services Ltd (NPI 1932468931, New Braunfels, TX); Northstar Anesthesia II PA (NPI 1477066405, Burleson, TX); Emergenchealth PLLC (NPI 1467970897, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1980
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 8B6148
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Source: [NPI Profile](https://npiprofile.com/npi/1104838234) · Data from the CMS NPPES public registry.