SHANA STOUT
NPI 1255942306
Counselor - Professional in Kalamazoo, MI

Active since August 12, 2020PECOS EnrolledAccepts Medicare Assignment
1608 LAKE ST, KALAMAZOO, MI 49001(269) 344-0202(269) 344-0285 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2021, Aug 12, 2020 (2 updates tracked since 2020).

About Shana Stout NPPES

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

SHANA STOUT (NPI 1255942306) is an individual professional provider in Kalamazoo, Michigan, licensed in Michigan (6401018911) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255942306
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANA STOUT
Location Address1608 LAKE STKalamazoo, MI 49001-3170
Mailing Address1608 Lake StKalamazoo, MI 49001-3170 · (269) 344-0202 · Fax (269) 344-0285
Fax(269) 344-0285
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 12, 2020
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1255942306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401018911
1608 LAKE ST, Kalamazoo, MI 49001

Other Names 1

Former Name (1)Shana Tubbs

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

Shana Stout 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 ID840782330
PECOS Enrollment IDI20251121003740
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.

Medicare Billing Reassignment

Medicare enrollment records show Shana Stout reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
246 E KILGORE RD
Portage, MI 49002
  • Reassigned Medicare billing, Michigan enrollment
  • 18 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.

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)
1608 LAKE ST
KALAMAZOO, MI 49001
Counselor (Professional)
1608 LAKE ST
KALAMAZOO, MI 49001
Social Worker (Clinical)
1608 LAKE ST
KALAMAZOO, MI 49001
Social Worker (Clinical)
1608 LAKE ST
KALAMAZOO, MI 49001
Counselor (Professional)
1608 LAKE ST
KALAMAZOO, MI 49001
Social Worker
1608 LAKE ST
KALAMAZOO, MI 49001
Social Worker (Clinical)
1608 LAKE ST
KALAMAZOO, MI 49001
Social Worker
1608 LAKE ST
KALAMAZOO, MI 49001

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 Shana Stout's NPI number?

The NPI number for Shana Stout is 1255942306. It was assigned to this individual provider in the NPPES registry on August 12, 2020. The provider is also known as Shana Tubbs.

Where is Shana Stout located?

Shana Stout practices at 1608 Lake St, Kalamazoo, MI 49001. The listed phone number is (269) 344-0202.

What is Shana Stout's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shana Stout enrolled in Medicare?

Yes. Shana 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 organization bills Medicare for Shana Stout's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shana Stout reassigns Medicare benefits to Restorative Therapy & Counseling Services (Portage, MI). The 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 Shana Stout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shana 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 Shana 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 Shana Stout was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.