SHAUNA SUE STARK DNP
NPI 1609303676
Nurse Practitioner - Acute Care in Chicago, IL
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shauna Sue Stark Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Shauna Stark reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 548 clinicians in this Medicare group
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 2,169 clinicians in this Medicare group
Hudsonville, MI 49426
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Midland, MI 48670
- Reassigned Medicare billing, Michigan enrollment
- 536 clinicians in this Medicare group
Petoskey, MI 49770
- Reassigned Medicare billing, Michigan enrollment
- 10 clinicians in this Medicare group
Scottsdale, AZ 85254
- Reassigned Medicare billing, Michigan enrollment
- 143 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
CHICAGO, IL 60612
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 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.
Where is Shauna Stark located?
Shauna Stark practices at 1620 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 947-1000.
What is Shauna Stark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Shauna Stark enrolled in Medicare?
Yes. Shauna Stark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shauna Stark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shauna Stark reassigns Medicare benefits to 6 organizations: Rush Medical Group (Chicago, IL), Rush University Medical Group (Chicago, IL), Advantage Health/Saint Mary's Medical Group (Hudsonville, MI), Mymichigan Medical Center Midland (Midland, MI), Center For Pulmonary And Sleep Medicine PC (Petoskey, MI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shauna Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shauna Stark accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Shauna Stark 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 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 5 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.
# Shauna Sue Stark, DNP · NPI 1609303676
Acute Care physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since May 22, 2017.
## Identity
- **NPI:** 1609303676 (Entity type: Individual)
- **Enumerated:** May 22, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 209-035661 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1620 W HARRISON ST, Chicago, IL 60612-3801
- **Phone:** (312) 947-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Rush Medical Group (NPI 1467312850, Chicago, IL); Rush University Medical Group (NPI 1093819542, Chicago, IL); Advantage Health/Saint Mary's Medical Group (NPI 1538430533, Hudsonville, MI); Mymichigan Medical Center Midland (NPI 1205889490, Midland, MI); Center For Pulmonary And Sleep Medicine PC (NPI 1962618215, Petoskey, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609303676) · Data from the CMS NPPES public registry.