Individual provider Active NPI

Madelaine Mae Stout, BA, DC

  • Chiropractor
  • Casper, WY
National Provider Identifier
1972672202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
461 Issued in WY
Practice address
735 English Dr
Casper, WY 82601-1627
Phone
(307) 235-4956
Fax
(307) 235-1654
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 461 WY Primary

Addresses

Primary practice location

735 English Dr
Casper, WY 82601-1627

Mailing address

735 English Dr
Casper, WY 82601-1627
Phone (307) 235-4956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000987 WY Practitioner - Chiropractic 6608838735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

735 English Dr
Casper, WY 82601-1627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
461WYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Chiropractic Clinic PC CurrentSince Aug 1, 2013 Accepting new patients

Locations

735 English Dr
Casper, WY 82601
Phone (307) 235-4956

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972672202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 ENGLISH DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011627",
            "telephone_number": "307-235-4956",
            "fax_number": "307-235-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 ENGLISH DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826011627",
            "telephone_number": "307-235-4956",
            "fax_number": "307-235-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "MADELAINE",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "BA, DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.