ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C) – Family Nurse Practitioner, NPI 1235772351

ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C) is a healthcare provider. based in College station, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. AP142201 (TX). The NPI Number for ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C) is 1235772351

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C)
NPI
1235772351
Phone
(806) 317-0556
Address
9207 BROOKWATER CIR
Enumeration Date
21 October 2019
Last Update Date
21 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9797762000
Graduation Year
2019 (7 years ago)
PAC ID
0840626479
Group Practice PAC ID
6709880271
Professional Enrollment ID
I20200130000964
Address ID
TX778455000CO2435XSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C)

  • 9207, Brookwater Circle, Woodcreek, College Station, Brazos County, Texas, 77845, United States

    COLLEGE STATION, TX 778458735

    Phone: (806) 317-0556

    Type: Mailing

  • 110, East Villa Maria Road, Bryan, Brazos County, Texas, 77801, United States

    BRYAN, TX 778022585

    Phone: (979) 776-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 108 Open Payments records for all available years, with a total value of $4,022.

Total Amount is formed as General ($4,022) + Research ($0) + Ownership ($0) = $4,022.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($1,157).

Total Amount

$4,022

General + Research + Ownership

Payments

108

Total payment records

General Amount

$4,022

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-01-30

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
I20200130000964INurse PractitionerTXTBD

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 minutes8052$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5551$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4339$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2818$0
View full utilization report →

Insurance plans in this area (ZIP 77845)

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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: 6709880271View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YTX
Hematology/Oncology, Internal MedicineTX
Medical OncologyTX
Internal Medicine, Medical OncologyTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C)?
ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C) — NPI 1235772351 — is the standard way to identify this listing.
Is ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C) still practicing?
ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C) is currently listed as active in the public NPI registry.
What is ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C)'s specialty?
The listing groups ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C) list a practice location?
Patients near College Station, Texas may find ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C) in results; validate coverage separately.
Why does ELLAIN JOY DEMAISIP STOUTENBURG (APRN, FNP-C) 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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