Individual provider Active NPI

Scott Stout, FNP-C

  • Family Nurse Practitioner
  • Odessa, TX
National Provider Identifier
1043729601
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135199 Issued in TX
Practice address
3952 E 42ND St Ste Z
Odessa, TX 79762-5942
Phone
(432) 614-5327
Fax
(432) 614-5784
NPI assigned
Sep 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP135199 TX Primary

Addresses

Primary practice location

3952 E 42ND St Ste Z
Odessa, TX 79762-5942

Mailing address

PO Box 164
Midland, TX 79702-0164
Phone (432) 687-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218001244 TX Practitioner - Nurse Practitioner 6103184338 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP135199TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Odessa Physician Associates, PLLC Nurse Practitioner CurrentSince Jul 24, 2021 Accepting new patients
Basin Emergency Physicians PLLC CurrentSince Jul 15, 2018 Accepting new patients
Concord Medical Group PLLC CurrentSince Oct 23, 2020 Accepting new patients
Trinity Family Practice & Urgent Care LLC CurrentSince Nov 9, 2022 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 23, 2020 Accepting new patients
MCH Professional Care Past Accepting new patients

Locations

720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

900 E 4th St
Odessa, TX 79761
Phone (432) 362-9900

6100 Eastridge Rd
Odessa, TX 79762
Phone (432) 332-2080

6110 Eastridge Rd
Odessa, TX 79762
Phone (432) 272-1072

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18606/brand/1/csg/1/fhir/r4
  • Direct secure messaging: scott.stout@115443077021700.direct.elationemr.com
  • Direct secure messaging: scott.stout.1@18606.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1043729601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797020164",
            "telephone_number": "432-687-2273",
            "fax_number": "432-687-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3952 E 42ND ST STE Z",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625942",
            "telephone_number": "432-614-5327",
            "fax_number": "432-614-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "SCOTT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.