MS. KELLY LYNN STOUT CPNP
NPI 1780072330
Nurse Practitioner - Pediatrics in Port St Lucie, FL
About Ms. Kelly Lynn Stout Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY LYNN STOUT CPNP (NPI 1780072330) is an individual pediatrics provider in Port St Lucie, Florida, licensed in Florida (11030455) and active in the NPI registry since January 2015.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT ST LUCIE, FL 34986
PORT SAINT LUCIE, FL 34986
PORT SAINT LUCIE, FL 34986
PORT SAINT LUCIE, FL 34986
PORT SAINT LUCIE, FL 34986
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 Kelly Stout's NPI number?
The NPI number for Kelly Stout is 1780072330. It was assigned to this individual provider in the NPPES registry on January 6, 2015.
Where is Kelly Stout located?
Kelly Stout practices at 1850 SW Fountainview Blvd Ste 105, Port St Lucie, FL 34986. The listed phone number is (772) 336-2818.
What is Kelly Stout's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
What insurance does Kelly Stout accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida list Kelly Stout as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Stout was last updated on January 31, 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.
# Ms. Kelly Lynn Stout, CPNP · NPI 1780072330
Pediatrics physician in Port St Lucie, Florida. Individual provider, active in the CMS NPPES registry since January 6, 2015.
## Identity
- **NPI:** 1780072330 (Entity type: Individual)
- **Enumerated:** January 6, 2015
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 11030455 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1850 SW FOUNTAINVIEW BLVD STE 105, Port St Lucie, FL 34986-4527
- **Phone:** (772) 336-2818
## Record status
- **NPPES last updated:** January 31, 2024
- **Other identifiers:** Medicaid 1780072330 (NC); Medicaid NP3486 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1780072330) · Data from the CMS NPPES public registry.