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JACOB STOUT
NPI 1952037939
Physician Assistant in South Salt Lake, UT

Active since August 01, 2022PECOS EnrolledAccepts Medicare Assignment
2472 S 300 E, SOUTH SALT LAKE, UT 84115(801) 783-5011 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 1, 2023, Aug 1, 2022 (2 updates tracked since 2022).

About Jacob Stout NPPES

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

JACOB STOUT (NPI 1952037939) is an individual physician assistant in South Salt Lake, Utah, licensed in Utah (13593511-1206) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1952037939
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB STOUT
Location Address2472 S 300 ESouth Salt Lake, UT 84115-2895
Mailing Address1118 Moyle DrAlpine, UT 84004-1200
Phone(801) 783-5011
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 1, 2022
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1952037939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 13593511-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2472 S 300 E, South Salt Lake, UT 84115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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

Jacob Stout 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 ID4183071053
PECOS Enrollment IDI20231114003517
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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
343 services74 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
294 services82 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
114 services80 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
97 services47 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
80 services69 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
57 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84115 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 17

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

ROBYN MICHELLE MOORE
Physical Therapy Assistant
2472 S 300 E
SALT LAKE CITY, UT 84115
Salt Lake County (801) 466-2211
ANNIE COOK
Recreation Therapist
2472 S 300 E
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 499-0244
VALLEY MENTAL HEALTH INCORPORATED
Psychiatry & Neurology (Psychiatry)
2472 S 300 E
SALT LAKE CITY, UT 84115
Salt Lake County (801) 415-7591
MR. DENNIS R RICE LPN
Licensed Practical Nurse
2472 S 300 E
SALT LAKE CITY, UT 84115
Salt Lake County (801) 415-7426
SARAH JENSEN
Recreational Therapist Assistant
2472 S 300 E
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 466-2211
SKYLER GAILLARD
Physical Therapy Assistant
2472 S 300 E
SALT LAKE CITY, UT 84115
Salt Lake County (801) 466-2211
MS. RACHEL YARMAN
Physical Therapist
2472 S 300 E
SALT LAKE CITY, UT 84115
Salt Lake County (801) 466-2211
KENNETH ANDREW LEE RN
Registered Nurse (General Practice)
2472 S 300 E
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 466-2211

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 Jacob Stout's NPI number?

The NPI number for Jacob Stout is 1952037939. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Jacob Stout located?

Jacob Stout practices at 2472 S 300 E, South Salt Lake, UT 84115. The listed phone number is (801) 783-5011.

What is Jacob Stout's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacob Stout enrolled in Medicare?

Yes. Jacob 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.

What insurance does Jacob Stout accept?

Health plans from Molina Healthcare list Jacob 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 Jacob Stout was last updated on November 1, 2023. 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.