Kimberly A Stout, FNP in Statesville, NC - Medicare Nurse Practitioner

Kimberly A Stout, FNP is a medicare enrolled "Nurse Practitioner - Family" in Statesville, North Carolina. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wake Forest University Health Sciences and her current practice location is 208 Old Mocksville Rd, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 838-8249.

Kimberly A Stout is licensed to practice in North Carolina (license number 5007155) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356740120.

Contact Information

	Kimberly A Stout, FNP
	208 Old Mocksville Rd, Statesville, NC 28625-1953
	(704) 838-8249
	(704) 924-5364

Map and Direction

Provider's Profile

Full Name	Kimberly A Stout
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	208 Old Mocksville Rd, Statesville, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly A Stout graduated from nursing school in 2009

NPI Data:

NPI Number: 1356740120
Provider Enumeration Date: 08/18/2014
Last Update Date: 12/04/2015

Medicare PECOS Information:

PECOS PAC ID: 0143540450
Enrollment ID: I20150527001727

Medical Identifiers

Medical identifiers for Kimberly A Stout such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356740120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5007155 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Carolina Baptist Hospital	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	2048

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly A Stout allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly A Stout is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly A Stout, FNP Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255	Kimberly A Stout, FNP 208 Old Mocksville Rd, Statesville, NC 28625-1953 Ph: (704) 838-8249

Reviews and Comments

Nurse Practitioner Nurses in Statesville, NC

Tanya Kapp Maxwell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 Davie Ave, Statesville, NC 28677 Phone: 704-873-1036 Fax: 704-873-1058
Mrs. Laurie A Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Minute Clinic, Statesville, NC 28625 Phone: 704-872-6355 Fax: 401-652-9787
Cecilia Kaechele, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-997-5525 Fax: 704-997-5531
Kelly Dawkins Bumgardner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Brookdale Dr Ste 100, Statesville, NC 28677 Phone: 704-873-7850
Rachel Danielle Stanley, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 536 Signal Hill Drive Ext, Statesville, NC 28625 Phone: 704-872-0234
Lisa Vang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Statesville, NC 28625 Phone: 704-872-6355
Ms. Judy Lackey Keighron, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308c Mocksville Hwy, Statesville, NC 28625 Phone: 704-873-4484 Fax: 704-873-4485

Kimberly A Stout, FNP - Medicare Nurse Practitioner in Statesville, NC