Evan Thomas Stout

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

13907 W 22ND Ave
Golden, CO 80401-6820

Phone

(302) 690-8855

NPI assigned

Aug 31, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Urgent Care Solutions Glendale PCGroup PAC ID 7517103906, 42 clinicians

Primary Care Solutions PCGroup PAC ID 4183847114, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Urgent Care Solutions Glendale, P.C.

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1336491075
  Medicare reassignment Care Compare group NPD
• Primary Care Solutions P.C.

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1871923250
  Medicare reassignment Care Compare group
• Urgent Care Lakewood Inc

  • Urgent Care Clinic/Center
  • Lakewood, CO
  • NPI 1902263908
  Medicare reassignment NPD
• Destiny Urgent Cares of Colorado LLC

  • Urgent Care Clinic/Center
  • Aurora, CO
  • NPI 1699452516
  Medicare reassignment
• Urgent Care Lakewood Inc

  • Urgent Care Clinic/Center
  • Thornton, CO
  • NPI 1104436278
  NPD
• Urgent Care Solutions, Glendale, PC

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1184099418
  NPD

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1639954142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13907 W 22ND AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016820",
            "telephone_number": "302-690-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13907 W 22ND AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016820",
            "telephone_number": "302-690-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "EVAN",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sena Celine Stillman
• Charmaine Stilson-Foley, LPC
• Charlene Ann Stinnett, RN, CNS
• William Travis Stoll, MD
• Marina Stonebraker
• Bozena Strachan, DMD
• Douglas J Straehley, MD
• Melissa Strange
• Ivy Lauren Strantz, DPT
• Hannah Sarah Strauss, PA-C

• Physician Assistant in Golden, CO
• Providers in Golden, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.