WILFRED OAKLEY STOUT PAC
NPI 1548669955
Physician Assistant in Oak Park Heights, MN

Q: What is Wilfred Stout's NPI number?

The NPI number for Wilfred Stout is 1548669955. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Q: What is Wilfred Stout's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Wilfred Stout was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 21, 2014PECOS EnrolledAccepts Medicare Assignment

5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082(651) 439-8807(651) 439-0232 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wilfred Oakley Stout Pac NPPES

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

WILFRED OAKLEY STOUT PAC (NPI 1548669955) is an individual physician assistant in Oak Park Heights, Minnesota, licensed in Wisconsin (3442) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1548669955

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameWILFRED OAKLEY STOUTCredential: PAC

Location Address5803 NEAL AVE NOak Park Heights, MN 55082-2177

Mailing Address5803 Neal Ave NOak Park Heights, MN 55082-2177 · (651) 439-8807 · Fax (651) 439-0232

Phone(651) 439-8807

Fax(651) 439-0232

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 21, 2014

Last NPPES UpdateJanuary 21, 2026

NPPES CertifiedJanuary 21, 2026

✔ NPI 1548669955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WI · 3442✔ Licensed in MN · 11732

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 11732 (MN), 3442-23 (WI)

5803 NEAL AVE N, Oak Park Heights, MN 55082

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica.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

Wilfred Oakley Stout Pac 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 ID547481293

PECOS Enrollment IDI20141021002190, I20150211001829

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 4

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number240066

Location927 West Churchill StreetStillwater, MN 55082 · Washington County

Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240106

Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County

Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521308

Location265 Griffin Street EastAmery, WI 54001 · Polk County

Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521345

Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

DR. TROY ALLEN VARGAS DPM

Podiatrist (Foot & Ankle Surgery)