MS. ANDREA KATHRYN STOUT (PA-C) – Physician Assistant, NPI 1982972782

MS. ANDREA KATHRYN STOUT (PA-C) is a healthcare provider. based in Columbia, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085004179 (IL). The NPI Number for MS. ANDREA KATHRYN STOUT (PA-C) is 1982972782

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. ANDREA KATHRYN STOUT (PA-C)
NPI
1982972782
Phone
(618) 205-7170
Address
1019 VALMEYER RD
Enumeration Date
7 December 2011
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182057170
Graduation Year
2011 (15 years ago)
PAC ID
1951577899
Group Practice PAC ID
5193150621
Professional Enrollment ID
I20111227000582
Address ID
IL622364123CO1019XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for MS. ANDREA KATHRYN STOUT (PA-C)

  • 1019 VALMEYER RD

    COLUMBIA, IL 622364123

    Phone: (618) 205-7170

    Type: Location

  • #3 JUNCTION DRIVE WEST

    GLEN CARBON, IL 620342916

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $255.

Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ABBVIE INC. ($82).

Total Amount

$255

General + Research + Ownership

Payments

11

Total payment records

General Amount

$255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2024-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20111227000582IPhysician AssistantILTBD
I20240309000365IPhysician AssistantMOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9877$0
99214Established patient office or other outpatient visit, 30-39 minutes9872$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7676$0
81002Urinalysis, manual test1311$0
G0009Administration of pneumococcal vaccine1212$0
View full utilization report →

Insurance plans in this area (ZIP 62236)

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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: 5193150621View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineMO
Physician AssistantIL
Family PracticeIL
Physician AssistantIL
Nurse PractitionerMO
-MO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. ANDREA KATHRYN STOUT (PA-C)?
MS. ANDREA KATHRYN STOUT (PA-C) — NPI 1982972782 — is the standard way to identify this listing.
Is MS. ANDREA KATHRYN STOUT (PA-C) still practicing?
MS. ANDREA KATHRYN STOUT (PA-C) is currently listed as active in the public NPI registry.
What is MS. ANDREA KATHRYN STOUT (PA-C) best known for clinically?
Directory data describes MS. ANDREA KATHRYN STOUT (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does MS. ANDREA KATHRYN STOUT (PA-C) serve?
MS. ANDREA KATHRYN STOUT (PA-C)'s listing highlights Columbia, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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