MADISON STOUT RN
NPI 1942084454
Nurse Anesthetist, Certified Registered in North Chicago, IL

Q: What is Madison Stout's NPI number?

The NPI number for Madison Stout is 1942084454. It was assigned to this individual provider in the NPPES registry on August 24, 2023.

Q: What is Madison Stout's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Stout was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 August 24, 2023PECOS EnrolledAccepts Medicare Assignment

3333 GREEN BAY RD, NORTH CHICAGO, IL 60064(937) 414-1002 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Madison Stout Rn NPPES

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

MADISON STOUT RN (NPI 1942084454) is an individual nurse anesthetist, certified registered in North Chicago, Illinois, licensed in Illinois (209032499) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Amita Health Resurrection Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1942084454

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMADISON STOUTCredential: RN

Location Address3333 GREEN BAY RDNorth Chicago, IL 60064-3037

Mailing Address3333 Green Bay RdNorth Chicago, IL 60064-3037

Phone(937) 414-1002

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 24, 2023

Last NPPES UpdateJuly 25, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1942084454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in IL · 209032499

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 1104641-30 (WI), 041495363 (IL)

3333 GREEN BAY RD, North Chicago, IL 60064

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madison Stout Rn 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 ID2365953973

PECOS Enrollment IDI20250619000355

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.

Medicare Billing Reassignments

Medicare enrollment records show Madison Stout reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arete Anesthesia LLC

23 mi

Anesthesiology

2750 S RIVER RD
Des Plaines, IL 60018

Reassigned Medicare billing, Illinois enrollment
18 clinicians in this Medicare group

NPI 1801336870 (708) 273-3052

Northstar Anesthesia Of Illinois, LLC

829 mi

Anesthesiology

2000 E LAMAR BLVD STE 400
Arlington, TX 76006

Reassigned Medicare billing, Illinois enrollment
735 clinicians in this Medicare group

NPI 1962822395 (817) 583-7421

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

Hospital Affiliations CMS Care Compare

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

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140117

Location7435 W Talcott AvenueChicago, IL 60631 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60064 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

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 20

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

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