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

Caitlin Ann Stark

Individual provider Critical Care Medicine Registered Nurse · NPI 1457033680

Caitlin Ann Stark is a Nurse Practitioner in Kansas City, Kansas. Qualified in 2022, 4 years ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
4
Licensed in
KS
In the registry since
2023
Specialties on file
2

Practice location Address checks out

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone: (913) 588-1227
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 53-82458-121 (KS)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 13-149412-121 (KS)

Record details

NPI number1457033680
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address3901 Rainbow Blvd, Kansas City, KS 66160-8500

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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