JACK STOUT CRNA
NPI 1104838234
Nurse Anesthetist, Certified Registered in Mcallen, TX

Active since August 13, 2006Accepts Medicare Assignment
222 E RIDGE RD, SUITE 204, MCALLEN, TX 78503(956) 632-6020(956) 630-6643 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1104838234
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACK STOUTCredential: CRNA
Location Address222 E RIDGE RD, SUITE 204Mcallen, TX 78503-1251
Mailing AddressPo Box 1672San Antonio, TX 78296-1672 · (956) 632-6020 · Fax (965) 630-6643
Fax(956) 630-6643
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104838234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TX · 229533
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

222 E RIDGE RD, Mcallen, TX 78503

Other Identifiers 1

Medicare ID-Type Unspecified8B6148

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

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.

PECOS PAC ID2365425733
PECOS Enrollment IDI20040608001194

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.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics (Neonatal-Perinatal Medicine)
222 E RIDGE RD, SUIT 202 C
MCALLEN, TX 78503
Pediatrics (Neonatal-Perinatal Medicine)
222 E RIDGE RD, SUITE 202C
MCALLEN, TX 78503
Anesthesiology
222 E RIDGE RD, SUITE 204
MCALLEN, TX 78503
Orthopaedic Surgery
222 E RIDGE RD
MCALLEN, TX 78503
Pediatrics (Neonatal-Perinatal Medicine)
222 E RIDGE RD
MCALLEN, TX 78503
Urology
222 E RIDGE RD, SUITE 212
MCALLEN, TX 78503
Speech-Language Pathologist
222 E RIDGE RD
MCALLEN, TX 78503
Nurse Anesthetist, Certified Registered
222 E RIDGE RD, SUITE 204
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.

What insurance does Jack Stout accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan 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 with the weekly NPPES data releases published by CMS.