Mrs Kristen Marie Stout, FNP-C | |
100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9497 | |
(812) 469-8300 | |
Not Available |
Full Name | Mrs Kristen Marie Stout |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 100 St Marys Epworth Xing Ste B100, Newburgh, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356123335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28251192A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71014513A (Indiana) | Primary |
Entity Name | St Marys Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275 |
Mailing Address | Practice Location Address |
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Mrs Kristen Marie Stout, FNP-C 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9497 Ph: () - | Mrs Kristen Marie Stout, FNP-C 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9497 Ph: (812) 469-8300 |
Allison Jo Martin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630 Phone: 812-858-3051 Fax: 812-858-3060 | |
Emily Christine York, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630 Phone: 812-858-3051 Fax: 812-858-3060 | |
Margie Huff, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4209 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-2800 Fax: 812-842-2901 | |
Kelli Shea Dempsey, ACNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-2210 Fax: 812-842-4599 | |
Amy Carol Wall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4199 Gateway Blvd Ste 2300, Newburgh, IN 47630 Phone: 812-858-4610 Fax: 812-858-4635 | |
Jessica Solomon Ranes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4199 Gateway Blvd Ste 3100, Newburgh, IN 47630 Phone: 812-842-4550 Fax: 812-842-4549 | |
Sydney Moats Schweikhard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4209 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-2800 Fax: 812-842-2901 |