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

Amy Stark

Individual provider Family Nurse Practitioner · NPI 1477098754

Amy Stark is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2016, 10 years ago. Practices with Abode Care Partners Al Vb LLC, a 54-clinician group and accepts Medicare assignment. Licensed in Missouri and Oklahoma.

Years since qualifying
10
Licensed in
MO, OK
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

101 W Hefner Rd Ste 100
Oklahoma City, OK 73114-6631
Phone: (405) 896-8058
Fax: (855) 223-1999
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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 208100 (OK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2016042121 (MO)

Record details

NPI number1477098754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2016
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Abode Care Partners Al Vb Llc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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