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

Mrs. Kristin Nicole Stark, MSN, CNM, WHNP

Individual provider Advanced Practice Midwife · NPI 1689140386

Mrs. Kristin Nicole Stark, MSN, CNM, WHNP is a Nurse Practitioner in Glendale, Arizona. Qualified in 2018, 8 years ago. Practices with Genesis OB GYN PLLC, a 108-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.
WHNP — Women's Health Nurse Practitioner
A nurse practitioner specialising in women's health.

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Practice location Address checks out

6678 W Thunderbird Rd
Glendale, AZ 85306-3721
Phone: (602) 978-1500
Fax: (602) 978-8944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 218557 (AZ)
Advanced Practice Midwife Taxonomy 367A00000X · Licence 218557 (AZ)

Record details

NPI number1689140386
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , CNM , WHNP
Sole proprietorNo
NPI enumeratedOctober 19, 2018
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Genesis Ob Gyn Pllc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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