STACY LYNN CLARKE FNP-C NPI 1114508298

NPI Information

  • NPI: 1114508298
  • Provider Name: STACY LYNN CLARKE, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9001 STATE LINE RD STE 300
    KANSAS CITY, MO
    ZIP 64114
  • Phone: (816) 363-2600

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NPI Details

Stacy Lynn Clarke, FNP-C is a family nurse practitioner in Kansas City, MO with 6 years of experience. Stacy Lynn Clarke, FNP-C NPI is 1114508298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9001 STATE LINE RD STE 300
KANSAS CITY, MO
ZIP 64114-212
Phone: (816) 363-2600
Fax: (816) 523-0068

The NPI 1114508298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99327)

The enumeration date for this NPI number is 4/19/2021 and was last updated on 7/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily53-80328KANSASNo
2363LF0000XNurse PractitionerFamily2021013570MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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