SHAUNA SUE STARK DNP
NPI 1609303676
Nurse Practitioner - Acute Care in Chicago, IL

Q: What is Shauna Stark's NPI number?

The NPI number for Shauna Stark is 1609303676. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Q: What is Shauna Stark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Shauna Stark was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 22, 2017PECOS Enrolled

1620 W HARRISON ST, CHICAGO, IL 60612(312) 947-1000 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2026, May 1, 2026, Aug 1, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Shauna Sue Stark Dnp NPPES

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

SHAUNA SUE STARK DNP (NPI 1609303676) is an individual acute care provider in Chicago, Illinois, licensed in Illinois (209-035661) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609303676

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSHAUNA SUE STARKCredential: DNP

Location Address1620 W HARRISON STChicago, IL 60612-3801

Mailing Address1620 W Harrison StChicago, IL 60612-3801 · (312) 947-1000

Phone(312) 947-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 22, 2017

Last NPPES UpdateMay 21, 20264 updates tracked since enumeration

NPPES CertifiedMay 21, 2026

✔ NPI 1609303676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IL · 209-035661

1620 W HARRISON ST, Chicago, IL 60612

Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shauna Sue Stark Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658641543

PECOS Enrollment IDI20260601000427

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

NICHOLAS RIGLER

Internal Medicine