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KAELEY STOUT
NPI 1356182257
Physician Assistant - Medical in Portland, OR

Active since June 04, 2024PECOS EnrolledAccepts Medicare Assignment
3303 S BOND AVE, PORTLAND, OR 97239(503) 494-8573(503) 494-3457 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 3, 2025, Jun 4, 2024 (2 updates tracked since 2024).

About Kaeley Stout NPPES

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

KAELEY STOUT (NPI 1356182257) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA226904) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1356182257
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKAELEY STOUT
Location Address3303 S BOND AVEPortland, OR 97239-4501
Mailing Address3303 S Bond AvePortland, OR 97239-4501 · (503) 494-8573 · Fax (503) 494-3457
Phone(503) 494-8573
Fax(503) 494-3457
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2025
Enumeration DateJune 4, 2024
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1356182257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA226904
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3303 S BOND AVE, Portland, OR 97239
Open in Google Maps ↗

Secondary Practice Location 1

Location 12730 S Moody AvePortland, OR 97201-5042 · Phone (503) 494-3633

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaeley 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 ID8426552795
PECOS Enrollment IDI20250918004108
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

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.

CHERYL STOMBERG FNP
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-6594
KIT MIRANDA
Speech-Language Pathologist
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-5947
MRS. LINDSAY EVELYN WYANT PAC
Physician Assistant (Surgical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8510
MS. STEFANIE ANN BROWN L.C.S.W.
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-1775
DR. MELISSA DANIELLE ADAIR ARNP
Nurse Practitioner (Family)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-3376
EMMA MARIANE JONES
Physician Assistant (Medical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8573
DR. MEGHANA HALKAR MD
Hospitalist
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-1100
EMMA JO NEUMANN
Social Worker (Clinical)
3303 S BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-7730

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 Kaeley Stout's NPI number?

The NPI number for Kaeley Stout is 1356182257. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Kaeley Stout located?

Kaeley Stout practices at 3303 S Bond Ave, Portland, OR 97239. The listed phone number is (503) 494-8573.

What is Kaeley Stout's specialty?

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

Is Kaeley Stout enrolled in Medicare?

Yes. Kaeley 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.

Is Kaeley Stout affiliated with any hospitals?

According to CMS data, Kaeley Stout is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Kaeley Stout was last updated on September 3, 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.