KATHERINE STOUT (DNP, CRNP FNP-BC) – Nurse Practitioner, NPI 1063399129

KATHERINE STOUT (DNP, CRNP FNP-BC) is a healthcare provider. based in Lutherville timonium, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, CRNP FNP-BC. They hold a License No. R237391 (MD). The NPI Number for KATHERINE STOUT (DNP, CRNP FNP-BC) is 1063399129

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KATHERINE STOUT (DNP, CRNP FNP-BC)
NPI
1063399129
Phone
(410) 828-7417
Address
1 TEXAS STATION CT
Enumeration Date
20 August 2025
Last Update Date
20 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4106597041
Graduation Year
2025 (1 year ago)
PAC ID
8628559374
Group Practice PAC ID
3274801139
Professional Enrollment ID
I20260220003350
Address ID
MD212022102BA301XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for KATHERINE STOUT (DNP, CRNP FNP-BC)

  • 1 TEXAS STATION CT

    LUTHERVILLE TIMONIUM, MD 210938286

    Phone: (410) 828-7417

    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: 2026-02-20

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
I20260220003350INurse PractitionerMDTBD

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 21093)

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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: 3274801139View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerMD
-MD
-MD
Physician AssistantMD
Internal MedicineMD
Internal MedicineDC
Nurse PractitionerMD
Family PracticeMD
Internal MedicineMD

Reviews

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Frequently asked questions

What is KATHERINE STOUT (DNP, CRNP FNP-BC)'s NPI number?
KATHERINE STOUT (DNP, CRNP FNP-BC)'s NPI is 1063399129 — the number used across U.S. healthcare to identify this provider.
Is KATHERINE STOUT (DNP, CRNP FNP-BC) still an active registrant?
KATHERINE STOUT (DNP, CRNP FNP-BC) carries an active NPI according to the public dataset.
What expertise is attributed to KATHERINE STOUT (DNP, CRNP FNP-BC)?
KATHERINE STOUT (DNP, CRNP FNP-BC)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KATHERINE STOUT (DNP, CRNP FNP-BC)?
Directory geography for KATHERINE STOUT (DNP, CRNP FNP-BC) centers on Lutherville Timonium, Maryland.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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