Mrs Kristin Nicole Stark, MSN, CNM, WHNP - Medicare Nurse Practitioner in Glendale, AZ

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Mrs Kristin Nicole Stark, MSN, CNM, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in Glendale, Arizona. Her current practice location is 6678 W Thunderbird Rd, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 978-1500.

Mrs Kristin Nicole Stark is licensed to practice in Arizona (license number 218557) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689140386.

Contact Information

Mrs Kristin Nicole Stark, MSN, CNM, WHNP
6678 W Thunderbird Rd,
Glendale, AZ 85306-3721
(602) 978-1500
(602) 978-8944

Map and Direction




Provider's Profile

Full NameMrs Kristin Nicole Stark
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location6678 W Thunderbird Rd, Glendale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689140386
  • Provider Enumeration Date: 10/19/2018
  • Last Update Date: 07/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628315249
  • Enrollment ID: I20210604002685

Medical Identifiers

Medical identifiers for Mrs Kristin Nicole Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689140386NPI-NPPES
098184MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 218557 (Arizona)Secondary
363LW0102XNurse Practitioner - Women's Health 218557 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kristin Nicole Stark allows following entities to bill medicare on her behalf.
Entity NameMountain Park Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558308825
PECOS PAC ID: 8325949647
Enrollment ID: O20040119000460

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. Mrs Kristin Nicole Stark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kristin Nicole Stark, MSN, CNM, WHNP
3003 N Central Ave Ste 1600,
Phoenix, AZ 85012-2908

Ph: (602) 323-3344		Mrs Kristin Nicole Stark, MSN, CNM, WHNP
6678 W Thunderbird Rd,
Glendale, AZ 85306-3721

Ph: (602) 978-1500

Reviews and Comments


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Mrs. Melanie Ann Nugent, CPNP
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Phone: 602-865-4442    Fax: 602-865-4507
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Kelly Lynn Rauch, FNP
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Emma Louise Keltgen, DNP, FNP-C
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Phone: 602-243-7277    Fax: 602-286-0808
Joyce Kim, NP-C
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Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302
Phone: 602-773-5546    
Anthony James Shaw, AGACNP-BC
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Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303
Phone: 602-568-8381    

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).

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.