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Kelly Stout, APRN, AGPCNP-C

NPI 1386596724ActiveIndividual· Nurse Practitioner· Mokena, IL

Nurse Practitioner (APRN, AGPCNP-C) with Community Care Network Inc, practicing in Mokena, Illinois. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner. Lists St Catherine Hospital Inc as a hospital affiliation.

Overview

NPI1386596724
StatusActive
Entity typeIndividual
CredentialAPRN, AGPCNP-C
Sole proprietorYes
NPI issuedFeb 10, 2026
Last updated in NPPESJun 23, 2026
Certified by providerJun 23, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X209.034209IL
Nurse Practitioner, Gerontology363LG0600X71018107AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (IL); Practitioner - Nurse Practitioner (IN)

Medicare sources and data years

Education and affiliations

Graduation year2025
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other nurse practitioners in Mokena

All 27 nurse practitioners in Mokena · All nurse practitioners in Illinois