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

Kacey L Stark

Individual provider Flight Registered Nurse · NPI 1699584581

Kacey L Stark is a Nurse Practitioner in New Bern, North Carolina. Qualified in 2025, 1 year ago. Practices with Emergency Medicine Physicians of Craven County PLLC, a 17-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone: (252) 633-8111
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5023171 (NC)
Flight Registered Nurse Taxonomy 163WF0300X · Licence 194691 (NC)

Record details

NPI number1699584581
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing address4535 Dressler Rd Nw, Canton, OH 44718-2545

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Emergency Medicine Physicians Of Craven County Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount