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Provider Profile

Stacey D. Stark, FNP

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At a glance

About Stacey Stark

Stacey D. Stark, FNP is a nurse practitioner — family based in Poplar Bluff, MO. The provider's National Provider Identifier (NPI) is 1104704477.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2025

Specialty

Credentials & Licensing

MO licenceAs reported to the NPI registry
No. 2025038960As reported
NPINational Provider Identifier
1104704477Issued 2025

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Stacey D. Stark?

Stacey D. Stark is a nurse practitioner in Poplar Bluff, MO. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

What is Stacey D. Stark's address?

Stacey D. Stark is listed at 2340 Katy Ln, Poplar Bluff, MO 63901. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Stacey D. Stark?

The number on file is (573) 290-3293. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Stacey D. Stark?

Stacey D. Stark's National Provider Identifier is 1104704477. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Stacey D. Stark train?

Stacey D. Stark attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Stacey D. Stark have?

Stacey D. Stark has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Is Stacey D. Stark's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Stacey D. Stark. If this is you, claiming it is free.

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