TERESA ANN STOUT (RN, BSN, CDE) – Nurse Practitioner, NPI 1285979336

TERESA ANN STOUT (RN, BSN, CDE) is a healthcare provider. based in Sterling, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, BSN, CDE. They hold a License No. 209017608 (IL). The NPI Number for TERESA ANN STOUT (RN, BSN, CDE) is 1285979336

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TERESA ANN STOUT (RN, BSN, CDE)
NPI
1285979336
Phone
(815) 625-4790
Address
101 E Miller Rd
Enumeration Date
30 November 2012
Last Update Date
6 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
2264786508
Group Practice PAC ID
2466349907
Professional Enrollment ID
I20181126001985
Address ID
IL612703042Mo303XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for TERESA ANN STOUT (RN, BSN, CDE)

  • 101 E Miller Rd

    Sterling, IL 610811252

    Phone: (815) 625-4790

    Type: Location

  • 101 E MILLER RD

    STERLING, IL 610811252

    Phone: (815) 625-4790

    Type: Mailing

  • 303 N JACKSON ST

    MORRISON, IL 612703042

    Phone: (815) 772-4003

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $463.

Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Novo Nordisk Inc ($111).

Total Amount

$463

General + Research + Ownership

Payments

25

Total payment records

General Amount

$463

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2018-11-26

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
I20181126001985INurse PractitionerILTBD

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 61081)

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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: 2466349907View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
P O D I A T R YIL
Family PracticeIL
Nurse PractitionerIL
Occupational Therapist In Private PracticeIA
Physician AssistantIA
-IL
Physician AssistantFL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What unique ID ties claims to TERESA ANN STOUT (RN, BSN, CDE)?
NPI 1285979336 is assigned to TERESA ANN STOUT (RN, BSN, CDE) under the national enumeration system.
Is TERESA ANN STOUT (RN, BSN, CDE) currently active in the NPI registry?
CMS-published data lists TERESA ANN STOUT (RN, BSN, CDE) as an active registrant.
What kind of provider is TERESA ANN STOUT (RN, BSN, CDE)?
The page reflects Nurse Practitioner for TERESA ANN STOUT (RN, BSN, CDE). Clinical services aligned with this taxonomy classification.
Where is TERESA ANN STOUT (RN, BSN, CDE)'s primary listing?
We display Sterling, Illinois because that is what the record indicates for TERESA ANN STOUT (RN, BSN, CDE).
Is TERESA ANN STOUT (RN, BSN, CDE) a real provider?
This page reflects official NPPES data for NPI 1285979336. Always confirm identity and privileges with the practice and licensing boards.

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