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

Mrs. Rebekah Rose Stark

Individual provider Family Nurse Practitioner · NPI 1841997095

Mrs. Rebekah Rose Stark is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2022, 4 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

2901 W Kk River Pkwy Ste 507
Milwaukee, WI 53215-3660
Phone: (414) 649-3780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 805-5580

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 13843 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 13843-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 235821-30 (WI)

Record details

NPI number1841997095
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2023
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

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 Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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