Michael Stark, - Licensed Vocational Nurse in Pleasant Prairie, WI

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Michael Stark, is a Licensed Vocational Nurse based in Pleasant Prairie, Wisconsin. Michael Stark is licensed to practice in Illinois (license number 043133707) and his current practice location is 12049 44th Ave, Pleasant Prairie, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (530) 562-5476.

NPI number for Michael Stark is 1194617647 and his current mailing address is 12049 44th Ave, Pleasant Prairie, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194617647.

Contact Information

Michael Stark,
12049 44th Ave,
Pleasant Prairie, WI 53158-3927
(530) 562-5476
Not Available

Map and Direction




Provider's Profile

Full NameMichael Stark
GenderMale
SpecialityLicensed Vocational Nurse
Location12049 44th Ave, Pleasant Prairie, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194617647
  • Provider Enumeration Date: 07/18/2025
  • Last Update Date: 07/18/2025

Medical Identifiers

Medical identifiers for Michael Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194617647NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse 719020 (California)Secondary
164X00000XLicensed Vocational Nurse 043133707 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Stark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Stark,
12049 44th Ave,
Pleasant Prairie, WI 53158-3927

Ph: (530) 562-5476		Michael Stark,
12049 44th Ave,
Pleasant Prairie, WI 53158-3927

Ph: (530) 562-5476

Reviews and Comments


Licensed Vocational Nurse Nurses in Pleasant Prairie, WI


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.