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

Shannon Lynn Stark, NP

Individual provider Family Nurse Practitioner · NPI 1730645763

Shannon Lynn Stark, NP is a Nurse Practitioner in Mesa, Arizona. Qualified in 2018, 8 years ago. Practices with Kmtrask PLLC, a 15-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2735 E Main St Ste 2&3
Mesa, AZ 85213-9269
Phone: (480) 867-1722
Fax: (480) 867-1709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 690 E Warner Rd Ste 133, Gilbert, AZ 85296-3057 — (480) 892-1212
  • 3833 E Thomas Rd Ste A2, Phoenix, AZ 85018-7523 — (602) 671-7066

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 222543 (AZ)

Record details

NPI number1730645763
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 14, 2019
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

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 Kmtrask Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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