Individual provider Active NPI

Kristen Lynn Stout, MSN, FNP-C

  • Primary Care Nurse Practitioner
  • Anthem, AZ
National Provider Identifier
1053876722
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
221035 Issued in AZ
Practice address
3648 W Anthem Way Ste A100
Anthem, AZ 85086-7002
Phone
(623) 434-6444
NPI assigned
Feb 6, 2019
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 221035 AZ Primary

Addresses

Primary practice location

3648 W Anthem Way Ste A100
Anthem, AZ 85086-7002

Mailing address

9401 W Thunderbird Rd Ste 155
Peoria, AZ 85381-4238
Phone (623) 249-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20191023001404 AZ Practitioner - Nurse Practitioner 8325370489 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444

3648 W Anthem Way
Suite A100
Anthem, AZ 85086-7002
Phone (623) 238-7310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
221035AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Nov 11, 2019 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Current Accepting new patients
Scottsdale Healthcare Corporation CurrentSince Nov 11, 2019 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Nov 11, 2019 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince May 27, 2023 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince May 27, 2023 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Nov 11, 2019 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Oct 1, 2020 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients

Locations (25 of 57)

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

16716 E Palisades Blvd
Ste 101A
Fountain Hills, AZ 85268
Phone (480) 587-6900

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

4232 W Bell Rd
Glendale, AZ 85308
Phone (602) 639-4535

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

6702 W Bethany Home Rd
Ste 1315
Glendale, AZ 85303
Phone (623) 435-7000

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

Interoperability endpoints

  • Direct secure messaging: kstout30931@direct.honorhealth.com

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1053876722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 W THUNDERBIRD RD STE 155",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814238",
            "telephone_number": "623-249-2100",
            "fax_number": "623-476-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 W ANTHEM WAY STE A100",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850867002",
            "telephone_number": "623-434-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "KRISTEN",
        "middle_name": "LYNN",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "221035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.