KIMBERLY A STOUT FNP
NPI 1356740120
Nurse Practitioner - Family in Statesville, NC

Active since August 18, 2014PECOS EnrolledAccepts Medicare Assignment
208 OLD MOCKSVILLE RD, STATESVILLE, NC 28625(704) 838-8249(704) 924-5364 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly A Stout Fnp NPPES

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

KIMBERLY A STOUT FNP (NPI 1356740120) is an individual family provider in Statesville, North Carolina, licensed in North Carolina (5007155) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1356740120
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY A STOUTCredential: FNP
Location Address208 OLD MOCKSVILLE RDStatesville, NC 28625-1953
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255 · Fax (336) 716-3202
Fax(704) 924-5364
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 18, 2014
Last NPPES UpdateDecember 4, 2015
NPI 1356740120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5007155
208 OLD MOCKSVILLE RD, Statesville, NC 28625

Accepted Insurance

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

Kimberly A 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.

PECOS PAC ID143540450
PECOS Enrollment IDI20150527001727
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
116 services75 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
34 services15 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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.

Internal Medicine
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Surgery
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Internal Medicine
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Obstetrics & Gynecology
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Internal Medicine (Gastroenterology)
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Ophthalmology
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Practitioner
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Physician Assistant
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356740120, enumerated as an "individual" on August 18, 2014.

The provider is located at 208 OLD MOCKSVILLE RD STATESVILLE, NC 28625 and the phone number is (704) 838-8249.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Kimberly Stout is affiliated with: NORTH CAROLINA BAPTIST HOSPITAL.