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

SAMANTHA STOUT APRN
NPI 1619800042
Nurse Practitioner in Port Charlotte, FL

Q: What is Samantha Stout's NPI number?

The NPI number for Samantha Stout is 1619800042. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Q: What is Samantha 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 Samantha Stout was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 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 June 05, 2026PECOS Enrolled

21297 OLEAN BLVD, PORT CHARLOTTE, FL 33952(941) 766-9570 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 25, 2026, Jul 29, 2026, Jun 5, 2026 (3 updates tracked since 2026).

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About Samantha Stout Aprn NPPES

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

SAMANTHA STOUT APRN (NPI 1619800042) is an individual nurse practitioner in Port Charlotte, Florida, licensed in Florida (APRN11049568) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619800042

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSAMANTHA STOUTCredential: APRN

Location Address21297 OLEAN BLVDPort Charlotte, FL 33952-6704

Mailing Address18361 Driggers AvePort Charlotte, FL 33948-8910

Phone(941) 766-9570

Sole ProprietorNo

Enumeration DateJune 5, 2026

Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1619800042 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 FL · APRN11049568

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 ListedRegistered NurseTaxonomy 163W00000X · License RN9429184 (FL)

21297 OLEAN BLVD, Port Charlotte, FL 33952

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 33952 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 2

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

TERRY ELLIS CARGILE APRN

Nurse Practitioner

21297 OLEAN BLVD
PORT CHARLOTTE, FL 33952

Charlotte County (417) 689-0150

KATLIN HOWARD FNP

Nurse Practitioner (Family)

21297 OLEAN BLVD
PORT CHARLOTTE, FL 33952

Charlotte County (941) 766-9570

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 Samantha Stout's NPI number?

The NPI number for Samantha Stout is 1619800042. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Where is Samantha Stout located?

Samantha Stout practices at 21297 Olean Blvd, Port Charlotte, FL 33952. The listed phone number is (941) 766-9570.

What is Samantha Stout's specialty?

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

Is Samantha Stout enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Stout was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 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.