KRISTEN STOUT
NPI 1184100372
Physician Assistant in Wooster, OH

Q: What is Kristen Stout's NPI number?

The NPI number for Kristen Stout is 1184100372. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Q: What is Kristen Stout's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Stout was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 11, 2018PECOS Enrolled

1740 CLEVELAND RD, WOOSTER, OH 44691(330) 287-4500 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2020, Feb 8, 2019, Aug 13, 2018 and 1 more (4 updates tracked since 2018).

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About Kristen Stout NPPES

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

KRISTEN STOUT (NPI 1184100372) is an individual physician assistant in Wooster, Ohio, licensed in Ohio (50.005596) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1184100372

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTEN STOUT

Location Address1740 CLEVELAND RDWooster, OH 44691-2204

Mailing Address9500 Euclid AveCleveland, OH 44195-0001

Phone(330) 287-4500

Sole ProprietorNo

Enumeration DateJuly 11, 2018

Last NPPES UpdateJanuary 2, 20204 updates tracked since enumeration

✔ NPI 1184100372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.005596

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1740 CLEVELAND RD, Wooster, OH 44691

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Secondary Practice Location 1

Location 19500 Euclid AveCleveland, OH 44195-2204 · Phone (216) 444-2200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44691 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

MS. THERESA KIMBERLEY MALMON-BERG M.S.N., C.N.P.

Nurse Practitioner (Family)