Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Stout, APRN, AGPCNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1386596724

Kelly Stout, APRN, AGPCNP-C is a Nurse Practitioner in Mokena, Illinois. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and Indiana.

Years since qualifying
1
Licensed in
IL, IN
In the registry since
2026
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

19657 S La Grange Rd
Mokena, IL 60448-9360
Phone: (708) 476-8205
Fax: (708) 995-7144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4321 Fir St, East Chicago, IN 46312-3049 — (219) 392-2740

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.034209 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 71018107A (IN)

Record details

NPI number1386596724
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGPCNP-C
Sole proprietorYes
NPI enumeratedFebruary 10, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare