STACY LYNN CLARKE (FNP-C) – Family Nurse Practitioner, NPI 1114508298

STACY LYNN CLARKE (FNP-C) is a healthcare provider. based in Kansas city, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 53-80328 (KS). The NPI Number for STACY LYNN CLARKE (FNP-C) is 1114508298

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
STACY LYNN CLARKE (FNP-C)
NPI
1114508298
Phone
(816) 363-2600
Address
9001 STATE LINE RD STE 300
Enumeration Date
19 April 2021
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3379919276
Graduation Year
2020 (6 years ago)
PAC ID
8820489545
Group Practice PAC ID
0345614459
Professional Enrollment ID
I20220106000847
Address ID
MO640812116LE400XXBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for STACY LYNN CLARKE (FNP-C)

  • 9001 STATE LINE RD STE 300

    KANSAS CITY, MO 641143212

    Phone: (816) 363-2600

    Fax: (816) 523-0068

    Type: Mailing

  • 5801 NW WHISPERING OAKS LN

    PARKVILLE, MO 641523243

    Phone: (816) 510-3820

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220106000847INurse PractitionerMOTBD
I20220615000948INurse PractitionerKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes11535$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes6130$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1411$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 64114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345614459View full group profile
NameSpecialtyState
Infectious Disease, Internal Medicine, Infectious DiseaseMO
Family Practice, Internal MedicineMO
General Practice, Emergency MedicineMO
Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Internal MedicineMO
Family PracticeMO
Family PracticeMO

Reviews

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Frequently asked questions

What is the standard ID for STACY LYNN CLARKE (FNP-C) in the U.S.?
In the U.S., STACY LYNN CLARKE (FNP-C) is identified by NPI 1114508298.
Quick check: is STACY LYNN CLARKE (FNP-C) active?
Public NPPES data shows STACY LYNN CLARKE (FNP-C) with an active NPI status right now.
What services align with STACY LYNN CLARKE (FNP-C)'s listing?
STACY LYNN CLARKE (FNP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is STACY LYNN CLARKE (FNP-C) tied to Kansas City, Missouri?
If you are local to Kansas City, Missouri, STACY LYNN CLARKE (FNP-C) may be relevant to your search.
Who maintains STACY LYNN CLARKE (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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