Individual provider Active NPI

Lisa Michelle Stout, DO

  • Family Medicine Physician
  • Waldoboro, ME
National Provider Identifier
1346549979
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2452 Issued in ME
Practice address
126 Depot St
Waldoboro, ME 04572-5913
Phone
(207) 832-6394
Fax
(207) 536-5162
NPI assigned
Mar 22, 2011
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2452 ME Primary

Addresses

Primary practice location

126 Depot St
Waldoboro, ME 04572-5913

Mailing address

126 Depot St
Waldoboro, ME 04572-5913
Phone (207) 832-6394

Other practice location 1

891 W Main St
Suite 200
Dover Foxcroft, ME 04426-1059
Phone (207) 564-4464

Other practice location 2

49 Hooper St
Wiscasset, ME 04578-4053
Phone (207) 882-7911

Other practice location 3

24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4250

Other practice location 4

19 Saint Andrews Ln
Boothbay Harbor, ME 04538-1732
Phone (207) 633-7820

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lstout@mayohospital.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825000678 ME Practitioner - Family Practice 4981822533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

126 Depot St
Waldoboro, ME 04572-5913
Phone (207) 832-6394

22 Bramhall St
Portland, ME 04102-3134

24 Miles Ctr Way
Maine Behavioral Healthcare
Damariscotta, ME 04543-4067
Phone (844) 292-0111

5 Miles Ctr Way
Damariscotta, ME 04543-4067
Phone (207) 563-3782

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 28, 2023 Accepting new patients
Mainehealth CurrentSince Aug 28, 2023 Accepting new patients
Hospital Administrative District 4 Family Medicine Current Accepting new patients
Eastern Maine Medical Center CurrentSince Oct 4, 2020 Accepting new patients
Mainehealth Current Accepting new patients
Eastern Maine Medical Center CurrentSince Oct 4, 2020 Accepting new patients
Mainehealth CurrentSince Jul 1, 2025 Accepting new patients
Mainehealth Family Medicine Past Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

19 Saint Andrews Ln
Boothbay Hbr, ME 04538
Phone (207) 633-7820

24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

49 Hooper St
Wiscasset, ME 04578
Phone (207) 882-7600

Interoperability endpoints

  • Direct secure messaging: lstout@mayohospital.cernerdirect.com
  • Direct secure messaging: lstout596219@direct.mmc.mainehealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1346549979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 DEPOT ST",
            "city": "WALDOBORO",
            "state": "ME",
            "postal_code": "045725913",
            "telephone_number": "207-832-6394",
            "fax_number": "207-536-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 DEPOT ST",
            "city": "WALDOBORO",
            "state": "ME",
            "postal_code": "045725913",
            "telephone_number": "207-832-6394",
            "fax_number": "207-536-5162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "891 W Main St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Dover Foxcroft",
            "state": "ME",
            "postal_code": "044261059",
            "country_code": "US",
            "telephone_number": "207-564-4464",
            "fax_number": "207-564-4461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 Hooper St",
            "address_purpose": "LOCATION",
            "city": "Wiscasset",
            "state": "ME",
            "postal_code": "045784053",
            "country_code": "US",
            "telephone_number": "207-882-7911",
            "fax_number": "207-882-6178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Miles Center Way",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434067",
            "country_code": "US",
            "telephone_number": "207-563-4250",
            "fax_number": "207-810-4977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Saint Andrews Ln",
            "address_purpose": "LOCATION",
            "city": "Boothbay Harbor",
            "state": "ME",
            "postal_code": "045381732",
            "country_code": "US",
            "telephone_number": "207-633-7820",
            "fax_number": "207-810-4966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lstout@mayohospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Northern Light Mayo Hospital Cerner Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "891 W Main St",
            "address_2": "Suite 200",
            "city": "Dover Foxcroft",
            "state": "ME",
            "country_code": "US",
            "postal_code": "044261059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waldoboro, ME

Sources for this page

Verify at the official NPI Registry.