Stacey Diane Stark, FNP - Nurse Practitioner in Poplar Bluff, MO

Stacey Diane Stark, FNP is a Nurse Practitioner - Family based in Poplar Bluff, Missouri. Stacey Diane Stark is licensed to practice in Missouri (license number 2025038960) and her current practice location is 2340 Katy Ln, Poplar Bluff, Missouri. She can be reached at her office (for appointments etc.) via phone at (573) 290-3293.

NPI number for Stacey Diane Stark is 1104704477 and her current mailing address is 190 Merlin Dr, Poplar Bluff, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104704477.

Contact Information

Stacey Diane Stark, FNP
2340 Katy Ln,
Poplar Bluff, MO 63901-2300
(573) 290-3293
Not Available

Map and Direction




Provider's Profile

Full NameStacey Diane Stark
GenderFemale
SpecialityNurse Practitioner - Family
Location2340 Katy Ln, Poplar Bluff, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104704477
  • Provider Enumeration Date: 08/25/2025
  • Last Update Date: 09/15/2025

Medical Identifiers

Medical identifiers for Stacey Diane Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104704477NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2025038960 (Missouri)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. Stacey Diane 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
Stacey Diane Stark, FNP
190 Merlin Dr,
Poplar Bluff, MO 63901-8374

Ph: (573) 718-9831
Stacey Diane Stark, FNP
2340 Katy Ln,
Poplar Bluff, MO 63901-2300

Ph: (573) 290-3293

Reviews and Comments


Nurse Practitioner Nurses in Poplar Bluff, MO

Jamie Lynn Morse, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2588 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-778-1277    Fax: 573-778-1299
Alicia Marie Cisne, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901
Phone: 573-727-5500    Fax: 573-727-5599
Jessica Nicole Mccain, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-776-2835    Fax: 573-776-2763
Wanda R Shewmon, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2210 Barron Rd, Poplar Bluff, MO 63901
Phone: 573-686-4133    Fax: 573-686-1315
Ms. Jolene M Wolf, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-686-4151    
Rebecca Compton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901
Phone: 573-727-5500    Fax: 573-727-5599
Shelly Y Gresham, RNC-FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2480 Three Rivers Blvd, Poplar Bluff, MO 63901
Phone: 573-686-5564    Fax: 573-686-2838

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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).

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