CHRISTA NICOLE STOUT (PA-C) – Physician Assistant, NPI 1073919205

CHRISTA NICOLE STOUT (PA-C) is a healthcare provider. based in Saint paul, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3448 (WI). The NPI Number for CHRISTA NICOLE STOUT (PA-C) is 1073919205

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTA NICOLE STOUT (PA-C)
NPI
1073919205
Phone
(651) 241-5290
Address
225 SMITH AVENUE NORTH
Enumeration Date
17 November 2014
Last Update Date
28 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512408000
Graduation Year
2014 (12 years ago)
PAC ID
7214252592
Group Practice PAC ID
6709771363
Professional Enrollment ID
I20150209000137
Address ID
MN551022344SA333XXNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for CHRISTA NICOLE STOUT (PA-C)

  • 225 SMITH AVENUE NORTH

    SUITE 201

    SAINT PAUL, MN 55102

    Phone: (651) 241-5290

    Type: Mailing

  • 225 SMITH AVE N

    SUITE 201

    SAINT PAUL, MN 551022533

    Phone: (651) 241-5321

    Type: Location

  • 2720 FAIRVIEW AVE N STE 100

    ROSEVILLE, MN 551131306

    Phone: (651) 241-5290

    Type: Mailing

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: 2025-11-06

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
I20150209000137IPhysician AssistantMNTBD
I20251106003676IPhysician AssistantWITBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2816$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2525$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1512$0
View full utilization report →

Insurance plans in this area (ZIP 55102)

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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: 6709771363View full group profile
NameSpecialtyState
N E U R O L O G YMN
Clinical PsychologistMN
-MN
Physician AssistantMN
Clinical PsychologistMN
Nurse PractitionerMN
N E U R O L O G YMN
Physician AssistantMN
N E U R O L O G YMN
N E U R O L O G YMN

Reviews

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Frequently asked questions

Does CHRISTA NICOLE STOUT (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CHRISTA NICOLE STOUT (PA-C) uses 1073919205.
Does CMS list CHRISTA NICOLE STOUT (PA-C) as active?
Yes — CHRISTA NICOLE STOUT (PA-C) is active in the NPI listing used on this page.
What is CHRISTA NICOLE STOUT (PA-C)'s specialty?
The listing groups CHRISTA NICOLE STOUT (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is CHRISTA NICOLE STOUT (PA-C) based?
CHRISTA NICOLE STOUT (PA-C) is tied to Saint Paul, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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