JENNIFER A STOUT CRNP
NPI 1750045167
Nurse Practitioner - Family in Latrobe, PA

Q: What is Jennifer Stout's NPI number?

The NPI number for Jennifer Stout is 1750045167. It was assigned to this individual provider in the NPPES registry on October 22, 2021. The provider is also known as Jennifer Pavick.

Q: What is Jennifer Stout's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Stout was last updated on June 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 22, 2021PECOS Enrolled

10 LIBERTY LN, LATROBE, PA 15650(724) 537-9208 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2024, Oct 22, 2021 (2 updates tracked since 2021).

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About Jennifer A Stout Crnp NPPES

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

JENNIFER A STOUT CRNP (NPI 1750045167) is an individual family provider in Latrobe, Pennsylvania, licensed in Pennsylvania (SP024601) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750045167

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER A STOUTCredential: CRNP

Location Address10 LIBERTY LNLatrobe, PA 15650-2772

Mailing Address810 S Shenandoah DrLatrobe, PA 15650-2421 · (724) 640-4113

Phone(724) 537-9208

Sole ProprietorNo

Enumeration DateOctober 22, 2021

Last NPPES UpdateJune 14, 20242 updates tracked since enumeration

NPPES CertifiedJune 14, 2024

✔ NPI 1750045167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP024601

10 LIBERTY LN, Latrobe, PA 15650

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Other Names 1

Former Name (1)Jennifer Pavick

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer A Stout Crnp 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 15650 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 10

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

DR. WALID A KASSIR M.D.

Internal Medicine (Nephrology)