Individual provider Active NPI

Lindsey Sue Stout, PA-C

  • Physician Assistant
  • Hastings, NE
National Provider Identifier
1831420132
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1487 Issued in NE
Practice address
2727 W 2ND St Ste 340
Hastings, NE 68901-4683
Phone
(402) 463-1250
Fax
(844) 826-7583
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1487 NE Primary

Addresses

Primary practice location

2727 W 2ND St Ste 340
Hastings, NE 68901-4683

Mailing address

2727 W 2ND St Ste 340
Hastings, NE 68901-4683
Phone (402) 463-1250

Other practice location 1

2510 18th Ave
Central City, NE 68826-2123
Phone (308) 946-3845

Other identifiers 1

IdentifierTypeStateIssuer
10025015900MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lorraine.edwards.1@17147.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100525000712 NE Practitioner - Physician Assistant 4385773688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Mary Lanning Memorial Hospital Association 129 clinicians

Practice addresses (Care Compare)

715 N Saint Joseph Ave
Mary Lanning Healthcare
Hastings, NE 68901-4451
Phone (402) 463-4521

Hospital & facility affiliations

  • Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Mary Lanning Memorial Hospital Association CurrentSince Dec 1, 2023 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Dec 1, 2023 Accepting new patients
Hastings Internal Medicine Associates PC PastSince May 7, 2023 Accepting new patients

Locations

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

Interoperability endpoints

  • Direct secure messaging: lstout89780@direct.nebraskamed.com
  • Direct secure messaging: lindsey.stout@hima.directbygreenway.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1831420132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W 2ND ST STE 340",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014683",
            "telephone_number": "402-463-1250",
            "fax_number": "844-826-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W 2ND ST STE 340",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014683",
            "telephone_number": "402-463-1250",
            "fax_number": "844-826-7583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Central City",
            "state": "NE",
            "postal_code": "688262123",
            "country_code": "US",
            "telephone_number": "308-946-3845",
            "fax_number": "308-946-2357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "LINDSEY",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025015900",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lorraine.edwards.1@17147.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2727 W 2nd St Ste 340",
            "city": "Hastings",
            "state": "NE",
            "country_code": "US",
            "postal_code": "689014683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.