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STOUT WELLNESS CENTER
NPI 1598092082
Clinic/Center - Multi-Specialty in Fort Mohave, AZ

Active since November 04, 2009
5130 HWY 95, FORT MOHAVE, AZ 86426(928) 768-2811(928) 768-9787 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stout Wellness Center NPPES

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

STOUT WELLNESS CENTER (NPI 1598092082) is a healthcare organization registered as a multi-specialty in Fort Mohave, Arizona and active in the NPI registry since November 2009. The organization lists Allen Earl Stout, Manager, as its authorized official.

NPPES Registry Identity

NPI1598092082
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameREVOLUTIONARY SERVICES LLC
Location Address5130 HWY 95Fort Mohave, AZ 86426-9374
Mailing Address5130 Hwy 95Fort Mohave, AZ 86426-9374 · (928) 768-2811 · Fax (928) 768-9787
Phone(928) 768-2811
Fax(928) 768-9787
Organization SubpartNo
Authorized OfficialAllen Earl StoutManager · (928) 768-2811
Enumeration DateNovember 4, 2009
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1598092082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedChiropractorTaxonomy 111N00000X · License 7353 (AZ)
5130 HWY 95, Fort Mohave, AZ 86426
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Other Names 1

Doing Business AsStout Wellness Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Stout Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Allen Stout, DC, FNP
Nurse Practitioner
NPI 1902833817
5130 HWY 95
Fort Mohave, AZ 86426
(928) 768-2811
✔ PECOS✔ Accepts MedicareSame address
Terry Coyle, D.C., F.N.P.
Nurse Practitioner
NPI 1639127780
5130 S HIGHWAY 95
Fort Mohave, AZ 86426
(928) 768-2811
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Revolutionary Services LLC's NPI number?

The NPI number for Revolutionary Services LLC is 1598092082. It was assigned to this organization in the NPPES registry on November 4, 2009. The provider is doing business as Stout Wellness Center.

Where is Revolutionary Services LLC located?

Revolutionary Services LLC is located at 5130 Hwy 95, Fort Mohave, AZ 86426. The listed phone number is (928) 768-2811.

What is Revolutionary Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Revolutionary Services LLC enrolled in Medicare?

Yes. Revolutionary Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revolutionary Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Revolutionary Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revolutionary Services LLC was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.