DR. JULIANNE STOUT (MD) – Internal Medicine Physician, NPI 1245276005
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,511 INTERNAL MEDICINE in IN
Provider Addresses for DR. JULIANNE STOUT (MD)
1700 Dividend Dr
Logansport, IN 469471572
Phone: (574) 722-7407
Fax: (574) 847-7203
Type: Location
Student Health Center (PUSH), 601, Stadium Mall Drive, West Lafayette, Tippecanoe County, Indiana, 47907, United States
WEST LAFAYETTE, IN 479072052
Phone: (765) 494-1700
Type: Mailing
114 EXECUTIVE DR STE E
LAFAYETTE, IN 479054875
Phone: (765) 494-1700
Type: Location
945 N 400 W
WEST LAFAYETTE, IN 479064620
Phone: (615) 542-9664
Type: Mailing
148 SAGAMORE PKWY W
WEST LAFAYETTE, IN 479061569
Phone: (765) 314-3515
Fax: (833) 874-0936
Type: Location
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: 2015-03-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150326000126 | I | Internal Medicine | IN | TBD |
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.
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 46947)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Mental Health Counselor | IN | |
| Nurse Practitioner | IN | |
| Mental Health Counselor | IN | |
| Nurse Practitioner | IN | |
| C H I R O P R A C T I C | MO | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Family Practice | IN | |
| Nurse Practitioner | MI |
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