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ANGELINA STOUT
NPI 1154994259
Physician Assistant - Medical in Imlay City, MI

Active since July 19, 2021PECOS Enrolled
147 N ALMONT AVE, IMLAY CITY, MI 48444(810) 721-7640 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Jul 14, 2026, Jul 19, 2021 (2 updates tracked since 2021).

About Angelina Stout NPPES

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

ANGELINA STOUT (NPI 1154994259) is an individual medical provider in Imlay City, Michigan, licensed in Michigan (5601014026) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154994259
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGELINA STOUT
Location Address147 N ALMONT AVEImlay City, MI 48444-1002
Mailing Address147 N Almont AveImlay City, MI 48444-1002 · (810) 721-7640
Phone(810) 721-7640
Sole ProprietorNo
Enumeration DateJuly 19, 2021
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1154994259 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 · 5601014026
147 N ALMONT AVE, Imlay City, MI 48444
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelina Stout is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL URGENT CARE, PLLC
Family Medicine
147 N ALMONT AVE
IMLAY CITY, MI 48444
Lapeer County (810) 721-7640
MS. JILL MARIE NEVORSKI NP-C
Nurse Practitioner (Family)
147 N ALMONT AVE
IMLAY CITY, MI 48444
Lapeer County (810) 721-7640
INNOVATIVE JOINT PAIN CLINIC, PLLC
Family Medicine
147 N ALMONT AVE
IMLAY CITY, MI 48444
Lapeer County (810) 721-7640
TONYA MARLIN
Nurse Practitioner (Family)
147 N ALMONT AVE
IMLAY CITY, MI 48444
Lapeer County (810) 721-7640

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 Angelina Stout's NPI number?

The NPI number for Angelina Stout is 1154994259. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Angelina Stout located?

Angelina Stout practices at 147 N Almont Ave, Imlay City, MI 48444. The listed phone number is (810) 721-7640.

What is Angelina Stout's specialty?

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

Is Angelina Stout enrolled in Medicare?

Yes. Angelina Stout is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angelina Stout was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.