SHANNON COZETTE STOUT
NPI 1346819034
Case Manager/Care Coordinator in Enid, OK

Q: What is Shannon Stout's NPI number?

The NPI number for Shannon Stout is 1346819034. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Q: What is Shannon Stout's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Stout was last updated on January 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 17, 2021PECOS Enrolled

312 N VAN BUREN ST, ENID, OK 73703(888) 573-7792 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2023, Jun 17, 2021 (2 updates tracked since 2021).

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About Shannon Cozette Stout NPPES

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

SHANNON COZETTE STOUT (NPI 1346819034) is an individual case manager/care coordinator provider in Enid, Oklahoma and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1346819034

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameSHANNON COZETTE STOUT

Location Address312 N VAN BUREN STEnid, OK 73703-4500

Mailing Address312 N Van Buren StEnid, OK 73703-4500 · (888) 573-7792

Phone(888) 573-7792

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 17, 2021

Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2023

✔ NPI 1346819034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

312 N VAN BUREN ST, Enid, OK 73703

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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)

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

PECOS PAC ID5395231757

PECOS Enrollment IDI20260106001348

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.

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