MICHAEL STARK
NPI 1194617647
Licensed Vocational Nurse in Pleasant Prairie, WI

Q: What is Michael Stark's NPI number?

The NPI number for Michael Stark is 1194617647. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Q: What is Michael Stark's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Stark was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2025

12049 44TH AVE, PLEASANT PRAIRIE, WI 53158(530) 562-5476 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Stark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL STARK (NPI 1194617647) is an individual licensed vocational nurse in Pleasant Prairie, Wisconsin, licensed in Illinois (043133707) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1194617647

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameMICHAEL STARK

Location Address12049 44TH AVEPleasant Prairie, WI 53158-3927

Mailing Address12049 44th AvePleasant Prairie, WI 53158-3927 · (530) 562-5476

Phone(530) 562-5476

Sole ProprietorNo

Enumeration DateJuly 18, 2025

NPPES CertifiedJuly 18, 2025

✔ NPI 1194617647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

Licenses✔ Licensed in IL · 043133707✔ Licensed in CA · 719020

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

12049 44TH AVE, Pleasant Prairie, WI 53158

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Stark's NPI number?

The NPI number for Michael Stark is 1194617647. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Michael Stark located?

Michael Stark practices at 12049 44th Ave, Pleasant Prairie, WI 53158. The listed phone number is (530) 562-5476.

What is Michael Stark's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Michael Stark was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.