NPIMap

Individual provider Active NPI

Dawn Yvette Stout, RN, BCFNP

  • Family Nurse Practitioner
  • Trenton, MO
National Provider Identifier
1376654178
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
141974 Issued in MO
Practice address
189 Iowa Blvd
Trenton, MO 64683-8343
Phone
(660) 358-5750
Fax
(660) 358-5740
NPI assigned
Aug 31, 2006
Last updated
Aug 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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 141974 MO Primary

Addresses

Primary practice location

189 Iowa Blvd
Trenton, MO 64683-8343

Mailing address

189 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750

Other identifiers 1

IdentifierTypeStateIssuer
1376654178MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061130000391 MO Practitioner - Nurse Practitioner 5193723096 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Luke's Hospital of TrentonGroup PAC ID 3971495532, shared by 4 NPIs, 14 clinicians
Sullivan County Memorial HospitalGroup PAC ID 7810973252, shared by 6 NPIs, 17 clinicians

Practice addresses (Care Compare)

189 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750

191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750

400 N Fullerton St
Princeton, MO 64673-1418
Phone (660) 748-4040

630 W 3Rd St
Milan, MO 63556-1076
Phone (660) 265-4212

Courthouse
Milan, MO 63556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as group
Quality
83.61
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan County Memorial Hospital CurrentSince Aug 20, 2020 Accepting new patients
Sullivan County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Sullivan County Memorial Hospital CurrentSince Aug 20, 2020 Accepting new patients
Saint Lukes Hospital of Trenton CurrentSince Apr 13, 2011 Accepting new patients
Saint Luke's Hospital of Trenton CurrentSince Jul 1, 2025 Accepting new patients

Locations

630 W 3rd St
Milan, MO 63556
Phone (660) 265-1077

189 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5750

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

Interoperability endpoints

  • Direct secure messaging: dstout24237@direct.saint-lukes.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/sulliva-d2785c8f

Organizations & group practices 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1376654178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 IOWA BLVD",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646838343",
            "telephone_number": "660-358-5750",
            "fax_number": "660-358-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 IOWA BLVD",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646838343",
            "telephone_number": "660-358-5750",
            "fax_number": "660-358-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "DAWN",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "RN, BCFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "141974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376654178",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MO

Sources for this page

Verify at the official NPI Registry.