Kristen Lynn Stout (NPI# 1053876722, PAC ID# 8325370489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053876722 |
| PAC ID by PECOS | 8325370489 |
| Professional Enrollment ID | I20191023001404 |
| Full Name | Kristen Lynn Stout |
| Organization Legal Name | JOHN C LINCOLN LLC |
| Address |
3648 W Anthem Way Suite A100 Anthem AZ 85086-7002 |
| Phone Number | 6232387310 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557274057 |
| Number of Group Practice Members | 157 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030092 | HONORHEALTH DEER VALLEY MEDICAL CENTER |
| 030087 | HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3648 W Anthem Way, Suite A100, Anthem, AZ 85086-7002 | 6232387310 | JOHN C LINCOLN LLC |
| 10230 W Happy Valley Rd, Peoria, AZ 85383-2795 | 6232664699 | JOHN C LINCOLN LLC |
| Organization Legal Name | JOHN C LINCOLN LLC |
| Physicians | 176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle J Mackelprang | Nurse Practitioner | John C Lincoln LLC | 3621 N Wells Fargo Ave, Scottsdale, AZ 85251-5607 |
| Jamillah L Ferguson | Nurse Practitioner | John C Lincoln LLC | 4131 N 24th St, Suite B102, Phoenix, AZ 85016-6231 |
| Chelsea J Thomsen | Internal Medicine | John C Lincoln LLC | 20330 N Cave Creek Rd, Suite 160, Phoenix, AZ 85024-1280 |
| Nicole A Konkowski | Family Medicine | John C Lincoln LLC | 9327 N 3 St, 100 Squaw Peak Family Medicine, Phoenix, AZ 85020-2471 |
| Lisa K Dela Cruz | Nurse Practitioner | John C Lincoln LLC | 1610 W Glendale Ave, 128 Deer Vly Fam Prac At The Beatitudes, Phoenix, AZ 85021-8948 |
| Hong Li | Nurse Practitioner | John C Lincoln LLC | 4131 N 24 St, B102 Arcadia Family Clinic, Phoenix, AZ 85016-6231 |
| Traci E Jensen | Family Medicine | John C Lincoln LLC | 6320 W Union Hills Dr, 2300b John C Lincoln Family Medicine and Wellness Cente, Glendale, AZ 85308-1376 |
| Marlene T Patino | Physician Assistant | John C Lincoln LLC | 750 E Thunderbird Rd, Suite 3, Phoenix, AZ 85022-5306 |
| Therese G Argyros | Nurse Practitioner | John C Lincoln LLC | 4712 E Dynamite Blvd, Cave Creek, AZ 85331-6243 |
| Richard A Wall | Family Practice | John C Lincoln LLC | 19841 N 27 Ave, 101 Dearing Family Medicine, Phoenix, AZ 85027-4004 |
| Street Address |
3648 W ANTHEM WAY SUITE A100 |
| City | ANTHEM |
| State | AZ |
| Zip | 85086-7002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric J Hoffman | Emergency Medicine | Honorhealth Urgent Care, LLC | 3648 W Anthem Way, Bldg A 100c, Anthem, AZ 85086-7001 |
| John P Deuel | Family Medicine | John C Lincoln LLC | 3648 W Anthem Way, Suite A100, Anthem, AZ 85086-7002 |
| Renee M Little | Physician Assistant | Honorhealth Urgent Care, LLC | 3648 W Anthem Way, Bldg A 100c, Anthem, AZ 85086-7001 |
| Diane N Johnson | Physician Assistant | Honorhealth Urgent Care, LLC | 3648 W Anthem Way, Bldg A 100c, Anthem, AZ 85086-7001 |
| Bruce P Packer | Internal Medicine | Honorhealth Urgent Care, LLC | 3648 W Anthem Way, Bldg A 100c, Anthem, AZ 85086-7001 |
| Jose Ivan A Rago | Family Medicine | Honorhealth Urgent Care, LLC | 3648 W Anthem Way, Bldg A 100c, Anthem, AZ 85086-7001 |
| John A Pham | Family Medicine | John C Lincoln LLC | 3648 W Anthem Way, Suite A100, Anthem, AZ 85086-7002 |
| Stephen C Hammett | Family Medicine | John C Lincoln LLC | 3648 W Anthem Way, Suite A100, Anthem, AZ 85086-7002 |
| Jerry M Fioramonti | Family Medicine | Honorhealth Urgent Care, LLC | 3648 W Anthem Way, Bldg A 100c, Anthem, AZ 85086-7001 |
| Tara S Raczka | Nurse Practitioner | Honorhealth Urgent Care, LLC | 3648 W Anthem Way, Bldg A 100c, Anthem, AZ 85086-7001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Brock Johansen | Chiropractic | Anthem Physical Medicine LLC | 3624 W Anthem Way, Anthem, AZ 85086-0440 |
| Jonathan G Musick | Chiropractic | Anthem Physical Medicine LLC | 3624 W Anthem Way, Anthem, AZ 85086-0440 |
| Patrick J Domanico | Physical Therapy | Anthem Physical Medicine LLC | 3624 W Anthem Way, Anthem, AZ 85086-0440 |
| Deborah Taylor | Nurse Practitioner | Anthem Physical Medicine LLC | 3624 W Anthem Way, Anthem, AZ 85086-0440 |
| Lawrence R Stern | Optometry | 4205 W Anthem Way, Suite 101, Anthem, AZ 85086-0445 | |
| Justin Thompson | Chiropractic | Good Life Inc | 3624 W Anthem Way C, Suite 110, Anthem, AZ 85086-0456 |
| Brett E Willden | General Practice | Walk In Medical Pllc | 3624 W Anthem Way, Suite C122, Anthem, AZ 85086-0457 |
| David B Foy | Family Medicine | Walk In Medical Pllc | 3624 W Anthem Way, Suite C122, Anthem, AZ 85086-0457 |
| Diana S Bone | Nurse Practitioner | Walk In Medical Pllc | 3624 W Anthem Way, Suite C122, Anthem, AZ 85086-0457 |
| Jill D Dierks | Nurse Practitioner | Walk In Medical Pllc | 3624 W Anthem Way, Suite C122, Anthem, AZ 85086-0457 |
| Find all physicians in zip 85086 | |||
| City | ANTHEM |
| Zip Code | 85086 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ANTHEM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristen Lynn Stout.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.