Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY STOUT APRN, AGPCNP-C
NPI 1386596724
Nurse Practitioner in Mokena, IL

Q: What is Kelly Stout's NPI number?

The NPI number for Kelly Stout is 1386596724. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Q: What is Kelly Stout's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Stout was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.

Active since February 10, 2026PECOS Enrolled

19657 S LA GRANGE RD, MOKENA, IL 60448(708) 476-8205(708) 995-7144 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kelly Stout Aprn, Agpcnp-c NPPES

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

KELLY STOUT APRN, AGPCNP-C (NPI 1386596724) is an individual nurse practitioner in Mokena, Illinois, licensed in Illinois (209.034209) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1386596724

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY STOUTCredential: APRN, AGPCNP-C

Location Address19657 S LA GRANGE RDMokena, IL 60448-9360

Mailing Address19657 S La Grange RdMokena, IL 60448-9360

Phone(708) 476-8205

Fax(708) 995-7144

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 10, 2026

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1386596724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209.034209

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 71018107A (IN)

19657 S LA GRANGE RD, Mokena, IL 60448

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Other Identifiers 1

Medicaid300131930IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Stout Aprn, Agpcnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456834688

PECOS Enrollment IDI20260316001160, I20260529003208

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60448 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZOE PSANIS

Nurse Practitioner (Family)

19657 S LA GRANGE RD
MOKENA, IL 60448

Will County (708) 232-8232

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 Kelly Stout's NPI number?

The NPI number for Kelly Stout is 1386596724. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Kelly Stout located?

Kelly Stout practices at 19657 S La Grange Rd, Mokena, IL 60448. The listed phone number is (708) 476-8205.

What is Kelly Stout's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Stout enrolled in Medicare?

Yes. Kelly Stout is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Stout was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.