MRS. KRISTIN NICOLE STARK MSN, CNM, WHNP
NPI 1689140386
Nurse Practitioner - Women's Health in Glendale, AZ

Q: What is Kristin Stark's NPI number?

The NPI number for Kristin Stark is 1689140386. It was assigned to this individual provider in the NPPES registry on October 19, 2018. The provider is also known as Miss Kristin Nicole Chambers Rn.

Q: What is Kristin Stark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Stark was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 October 19, 2018PECOS EnrolledAccepts Medicare Assignment

6678 W THUNDERBIRD RD, GLENDALE, AZ 85306(602) 978-1500(602) 978-8944 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2024, Oct 19, 2018 (2 updates tracked since 2018).

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About Mrs. Kristin Nicole Stark Msn, Cnm, Whnp NPPES

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

MRS. KRISTIN NICOLE STARK MSN, CNM, WHNP (NPI 1689140386) is an individual women's health provider in Glendale, Arizona, licensed in Arizona (218557) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689140386

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMRS. KRISTIN NICOLE STARKCredential: MSN, CNM, WHNP

Location Address6678 W THUNDERBIRD RDGlendale, AZ 85306-3721

Mailing Address3003 N Central Ave Ste 1600Phoenix, AZ 85012-2908 · (602) 323-3344 · Fax (602) 323-3496

Phone(602) 978-1500

Fax(602) 978-8944

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 19, 2018

Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration

NPPES CertifiedJuly 19, 2024

✔ NPI 1689140386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in AZ · 218557

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 218557 (AZ)

6678 W THUNDERBIRD RD, Glendale, AZ 85306

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Other Names 1

Former Name (1)Miss Kristin Nicole Chambers Rn

Other Identifiers 1

Medicaid098184AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kristin Nicole Stark Msn, Cnm, Whnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628315249

PECOS Enrollment IDI20210604002685

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 85306 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

DR. ELIZABETH V MAHOUR-MOYER M.D.

Obstetrics & Gynecology