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

Jennifer Stark, FNP-BC

Individual provider Addiction (Substance Use Disorder) Registered Nurse · NPI 1417371576

Jennifer Stark, FNP-BC is a Nurse Practitioner in Saint Louis, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 2025, 1 year ago. Practices with Mercy Clinic Pain Management LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

12700 Southfork Rd Ste 153
Saint Louis, MO 63128-3201
Phone: (314) 543-5283
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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 2025023492 (MO)
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X · Licence 2012021855 (MO)

Record details

NPI number1417371576
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 10, 2014
Last updated in NPPESJune 22, 2025
Certification dateJune 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Mercy Clinic Pain Management Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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