STACEY A. STOUT (CNM) – Advanced Practice Midwife, NPI 1619355195

STACEY A. STOUT (CNM) is a healthcare provider. based in Macon, Georgia. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. RN129909 (GA). The NPI Number for STACEY A. STOUT (CNM) is 1619355195

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
STACEY A. STOUT (CNM)
NPI
1619355195
Phone
(478) 745-7935
Address
650 COLISEUM PL
Enumeration Date
15 May 2015
Last Update Date
14 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789229136
Graduation Year
2015 (11 years ago)
PAC ID
6901194778
Group Practice PAC ID
8628063203
Professional Enrollment ID
I20161011000866
Address ID
GA310888937WA130XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

182 CERTIFIED NURSE MIDWIFE (CNM) in GA

Provider Addresses for STACEY A. STOUT (CNM)

  • 650 COLISEUM PL

    MACON, GA 312173867

    Phone: (478) 745-7935

    Fax: (478) 745-7806

    Type: Mailing

  • 130 BYRD WAY

    WARNER ROBINS, GA 310888937

    Phone: (478) 922-9136

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $336.

Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: ABBVIE INC. ($93).

Total Amount

$336

General + Research + Ownership

Payments

18

Total payment records

General Amount

$336

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161011000866ICertified Nurse Midwife (Cnm)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31217)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628063203View full group profile
NameSpecialtyState
Nurse PractitionerGA
Certified Nurse Midwife (Cnm)GA
Nurse PractitionerGA
O B S T E T R I C S/ G Y N E C O L O G YNM
Nurse PractitionerGA
Certified Nurse Midwife (Cnm)GA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How is STACEY A. STOUT (CNM) identified in CMS data?
CMS-hosted NPPES data lists STACEY A. STOUT (CNM) with NPI 1619355195.
Is STACEY A. STOUT (CNM) listed as active for patients and plans?
The listing shows STACEY A. STOUT (CNM) as active in the NPI system.
What is STACEY A. STOUT (CNM) best known for clinically?
Directory data describes STACEY A. STOUT (CNM) with Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Does STACEY A. STOUT (CNM) list a practice location?
Patients near Macon, Georgia may find STACEY A. STOUT (CNM) in results; validate coverage separately.
Is the information about STACEY A. STOUT (CNM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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