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

Michael David Stout, AA

Individual provider Anesthesiologist Assistant · NPI 1255403812

Michael David Stout, AA is an Anesthesiology Assistant in Milwaukee, Wisconsin. Qualified in 2015, 11 years ago. Practices with Jupiter Anesthesia Associates LLC, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2006
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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-8700
Fax: (414) 259-1522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 — (262) 257-5100

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA900 (FL)

Record details

NPI number1255403812
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing addressN84w33109 Becker Ln, Oconomowoc, WI 53066-9733

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Jupiter Anesthesia Associates Llc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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