AMANDA QUINN STOUT CRNP
NPI 1740931062
Nurse Practitioner in Lykens, PA

Active since January 18, 2022PECOS EnrolledAccepts Medicare Assignment
517 SOUTH ST, LYKENS, PA 17048(717) 453-1073(717) 453-8292 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2022, Jan 18, 2022 (2 updates tracked since 2022).

About Amanda Quinn Stout Crnp NPPES

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

AMANDA QUINN STOUT CRNP (NPI 1740931062) is an individual nurse practitioner in Lykens, Pennsylvania, licensed in Pennsylvania (SP025344) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1740931062
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA QUINN STOUTCredential: CRNP
Location Address517 SOUTH STLykens, PA 17048-1520
Mailing Address7 Dock Hill RdMiddleburg, PA 17842-8910 · (570) 837-2123 · Fax (570) 837-2185
Fax(717) 453-8292
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 18, 2022
Last NPPES UpdateMarch 16, 20222 updates tracked since enumeration
NPPES CertifiedMarch 16, 2022
NPI 1740931062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP025344
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.
517 SOUTH ST, Lykens, PA 17048

Other Names 1

Former Name (1)Amanda Quinn Lust

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Amanda Quinn Stout Crnp 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 ID3577959410
PECOS Enrollment IDI20220401001587
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 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 with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17048 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 11

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

Physician Assistant
517 SOUTH ST
LYKENS, PA 17048
Family Medicine
517 SOUTH ST
LYKENS, PA 17048
Nurse Practitioner
517 SOUTH ST
LYKENS, PA 17048
Physician Assistant
517 SOUTH ST
LYKENS, PA 17048
Family Medicine
517 SOUTH ST
LYKENS, PA 17048
Physician Assistant
517 SOUTH ST
LYKENS, PA 17048
Podiatrist (Foot & Ankle Surgery)
517 SOUTH ST
LYKENS, PA 17048
Physician Assistant
517 SOUTH ST
LYKENS, PA 17048

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 Amanda Stout's NPI number?

The NPI number for Amanda Stout is 1740931062. It was assigned to this individual provider in the NPPES registry on January 18, 2022. The provider is also known as Amanda Quinn Lust.

Where is Amanda Stout located?

Amanda Stout practices at 517 South St, Lykens, PA 17048. The listed phone number is (717) 453-1073.

What is Amanda Stout's specialty?

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

Is Amanda Stout enrolled in Medicare?

Yes. Amanda Stout is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amanda Stout affiliated with any hospitals?

According to CMS data, Amanda Stout is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Amanda Stout was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.