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

Amy Marie Stark

Individual provider Critical Care Medicine Registered Nurse · NPI 1750819447

Amy Marie Stark is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2017, 9 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

901 E 104th St
Kansas City, MO 64131
Phone: (816) 769-5109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2017020422 (MO)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 2005008569 (MO)

Record details

NPI number1750819447
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2017
Last updated in NPPESDecember 22, 2019
Certification dateDecember 22, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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