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MS. KIMBERLY MARIE STACK PMHNP-BC
NPI 1366413536
Nurse Practitioner - Psychiatric/Mental Health in Clifton Park, NY

Active since January 27, 2006
954 ROUTE 146 STE 3, CLIFTON PARK, NY 12065(518) 952-4000(833) 974-2234 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2025, Aug 19, 2024, Nov 3, 2017 (3 updates tracked since 2017).

About Ms. Kimberly Marie Stack Pmhnp-bc NPPES

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

MS. KIMBERLY MARIE STACK PMHNP-BC (NPI 1366413536) is an individual psychiatric/mental health provider in Clifton Park, New York, licensed in New York (402216) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1366413536
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. KIMBERLY MARIE STACKCredential: PMHNP-BC
Location Address954 ROUTE 146 STE 3Clifton Park, NY 12065-3639
Mailing Address954 Route 146 Ste 3Clifton Park, NY 12065-3639 · (518) 952-4000 · Fax (833) 974-2234
Phone(518) 952-4000
Fax(833) 974-2234
Sole ProprietorYes
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJune 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1366413536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402216
Also ListedNurse PractitionerTaxonomy 363L00000X · License F402216 (NY)
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 0001125389 (VA), 426056-1 (NY)
954 ROUTE 146 STE 3, Clifton Park, NY 12065
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Other Names 1

Former Name (1)Mrs. Kimberly Marie Moravek Rn, Crna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LASHONDIA ADAMS NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
954 ROUTE 146 STE 3
CLIFTON PARK, NY 12065
Saratoga County (619) 766-5300
KIMBERLY M STACK, NP IN PSYCHIATRY PC
Nurse Practitioner (Psychiatric/Mental Health)
954 ROUTE 146 STE 3
CLIFTON PARK, NY 12065
Saratoga County (518) 952-4000

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 Kimberly Stack's NPI number?

The NPI number for Kimberly Stack is 1366413536. It was assigned to this individual provider in the NPPES registry on January 27, 2006. The provider is also known as Mrs. Kimberly Marie Moravek Rn, Crna.

Where is Kimberly Stack located?

Kimberly Stack practices at 954 Route 146 Ste 3, Clifton Park, NY 12065. The listed phone number is (518) 952-4000.

What is Kimberly Stack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Kimberly Stack accept?

Health plans from Providence Health Plan list Kimberly Stack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Stack was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.