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Active NPI 1740931062 Individual Practitioner Female Practitioner

Amanda Quinn Stout , CRNP

Nurse Practitioner • Lykens, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Stout, CRNP is a certified Nurse Practitioner practicing in Lykens, PA. With approximately 5 years of clinical experience since completing medical education in 2021, Amanda Stout delivers high-quality medical care to the local community at 517 SOUTH ST.

Amanda Stout is affiliated with Family Practice Center Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

517 South St

Lykens, PA 170481520

Telephone 7174531073
Fax 7174538292
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lykens, PA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs +1.7 yrs vs City Avg
City Avg: 3.3 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Lykens, PA (3955 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stout (5 Years) 5 Yrs
Lykens Specialty Average (3.3 Years) 3.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
22 21 $110.00 $70.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 16 $160.00 $103.48

Medical Specialties & State Licenses

CMS Verified: 2022-03-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP025344

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Family Practice Center Pc

517 S St, Lykens, PA 170481520

Phone: 7174531073

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Arthur Zellner , PA-C

Physician Assistant

NPI 1104872951

Physician Assistant (Certified)

Dr. Kyle Riganati , DO

Family Medicine

NPI 1407111404

Doctor of Osteopathic Medicine (D.O.)

Susan Evitts , CRNP

Nurse Practitioner

NPI 1427042241

Certified Registered Nurse Practitioner

NPI 1437124336

Physician Assistant (Certified)

NPI 1447282686

Doctor of Osteopathic Medicine (D.O.)

Joseph Visceglia , PA-C

Physician Assistant

NPI 1477177525

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2022

Nurse Practitioner (License #SP025344 in PA)

NPI Profile Active February 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2022

Registered at 517 SOUTH ST, LYKENS, PA 170481520 (Tel: 7174531073)

📍
Updated Business Mailing Address February 08, 2022

Registered at 7 DOCK HILL RD, MIDDLEBURG, PA 178428910 (Tel: 5708372123)

👤
Provider Name / Credentials Updated February 08, 2022

Recorded as AMANDA STOUT, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2022

Registered Nurse (License #RN539468 in PA)

🟢
Initial NPI Registration & Enumeration January 18, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740931062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2022
Last Update: March 16, 2022
Sole Proprietor: Yes

Mailing Address

7 Dock Hill Rd

Middleburg, PA 178428910

Phone: 5708372123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.