JACLYN GROGAN STOUT FNP
NPI 1275028896
Nurse Practitioner - Family in Farmington, CT
About Jaclyn Grogan Stout Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN GROGAN STOUT FNP (NPI 1275028896) is an individual family provider in Farmington, Connecticut, licensed in Connecticut (14883) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Jaclyn Grogan Stout Fnp 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
2Medicare enrollment records show Jaclyn Stout reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 452 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 06032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Jaclyn Stout's NPI number?
The NPI number for Jaclyn Stout is 1275028896. It was assigned to this individual provider in the NPPES registry on June 26, 2018.
Where is Jaclyn Stout located?
Jaclyn Stout practices at 499 Farmington Ave Ste 2B, Farmington, CT 06032. The listed phone number is (860) 947-8500.
What is Jaclyn Stout's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jaclyn Stout enrolled in Medicare?
Yes. Jaclyn 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 Jaclyn Stout's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Stout reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and Mskcc Surgery Group (New York, NY). 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 Jaclyn Stout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jaclyn Stout was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jaclyn Grogan Stout, FNP · NPI 1275028896
Family physician in Farmington, Connecticut. Individual provider, active in the CMS NPPES registry since June 26, 2018.
## Identity
- **NPI:** 1275028896 (Entity type: Individual)
- **Enumerated:** June 26, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 14883 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 499 FARMINGTON AVE STE 2B, Farmington, CT 06032-1943
- **Phone:** (860) 947-8500 · **Fax:** (860) 524-8643
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); Mskcc Surgery Group (NPI 1699766261, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 17, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1275028896) · Data from the CMS NPPES public registry.