NICOLE M STOUT (CRNP) – Nurse Practitioner, NPI 1407072952
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for NICOLE M STOUT (CRNP)
933 E HAVERFORD RD
BRYN MAWR, PA 190103819
Phone: (610) 525-4511
Fax: (610) 525-8561
Type: Mailing
825 OLD LANCASTER RD STE 320
BRYN MAWR, PA 190103235
Phone: (610) 527-3800
Type: Mailing
825 OLD LANCASTER RD STE 440
BRYN MAWR, PA 190103236
Phone: (610) 525-4511
Fax: (610) 525-8561
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 166 Open Payments records for all available years, with a total value of $3,733.
Total Amount is formed as General ($3,733) + Research ($0) + Ownership ($0) = $3,733.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($345).
Total Amount
$3,733
General + Research + Ownership
Payments
166
Total payment records
General Amount
$3,733
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $345 |
| Astellas Pharma US Inc | $289 |
| Pharmacyclics LLC, an AbbVie Company | $230 |
| ABBVIE INC. | $207 |
| PFIZER INC. | $154 |
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: 2024-06-28
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 |
|---|---|---|---|---|
| I20240628000259 | I | Nurse Practitioner | PA | 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 19010)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Allergy/Immunology, Pediatric Medicine | PA | |
| H E M A T O L O G Y/ O N C O L O G Y | PA | |
| - | PA | |
| - | PA | |
| Cardiovascular Disease (Cardiology) | PA | |
| Hematology, Internal Medicine | PA | |
| - | PA | |
| D E R M A T O L O G Y | PA | |
| G A S T R O E N T E R O L O G Y | PA | |
| - | PA |
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