DR. ANDREA STOUT (AUDIOLOGIST) – Audiologist, NPI 1225057995

DR. ANDREA STOUT (AUDIOLOGIST) is a healthcare provider. based in Marion, Indiana. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUDIOLOGIST. They hold a License No. 23002390A (IN). The NPI Number for DR. ANDREA STOUT (AUDIOLOGIST) is 1225057995

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREA STOUT (AUDIOLOGIST)
NPI
1225057995
Phone
(765) 664-3470
Address
821 N WESTERN AVE
Enumeration Date
19 July 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485282116
Graduation Year
1995 (31 years ago)
PAC ID
4183880842
Group Practice PAC ID
8527221480
Professional Enrollment ID
I20120724000714
Address ID
IN462407316IN8425XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

249 QUALIFIED AUDIOLOGIST in IN

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Provider Addresses for DR. ANDREA STOUT (AUDIOLOGIST)

  • 821, North Western Avenue, Marion, Grant County, Indiana, 46952, United States

    MARION, IN 469522507

    Phone: (765) 664-3470

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-07-24

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
I20120724000714IQualified AudiologistINTBD

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 46952)

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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: 8527221480View full group profile
NameSpecialtyState
P O D I A T R YIL
Qualified AudiologistIN
Nurse PractitionerIN
Nurse PractitionerIN
P O D I A T R YIN
-IN
Nurse PractitionerIN
-IN
Nurse PractitionerTN
-IN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ANDREA STOUT (AUDIOLOGIST)?
DR. ANDREA STOUT (AUDIOLOGIST) — NPI 1225057995 — is the standard way to identify this listing.
Does CMS list DR. ANDREA STOUT (AUDIOLOGIST) as active?
Yes — DR. ANDREA STOUT (AUDIOLOGIST) is active in the NPI listing used on this page.
What is DR. ANDREA STOUT (AUDIOLOGIST)'s primary classification?
Audiologist is the headline specialty for DR. ANDREA STOUT (AUDIOLOGIST) here. Clinical services aligned with this taxonomy classification.
Does DR. ANDREA STOUT (AUDIOLOGIST) list a practice location?
Patients near Marion, Indiana may find DR. ANDREA STOUT (AUDIOLOGIST) in results; validate coverage separately.
Why does DR. ANDREA STOUT (AUDIOLOGIST) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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