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

Stacy Ann Clark, APRN

Individual provider Family Nurse Practitioner · NPI 1295199941

Stacy Ann Clark, APRN is a Nurse Practitioner in Owensboro, Kentucky. Qualified in 2016, 10 years ago. Practices with Owensboro Medical Practice, PLLC, a 20-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
10
Licensed in
IN, KY
In the registry since
2016
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1200 Breckenridge St
Owensboro, KY 42303-1089
Phone: (270) 683-7553
Fax: (270) 685-8226
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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 3010213 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 71007669A (IN)

Record details

NPI number1295199941
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 8, 2016
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address8211 W State Route 66, A, Newburgh, IN 47630-2534

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Owensboro Medical Practice, Pllc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Owensboro