Kathy Jean Stark

AGPCNP-BC | Nurse Practitioner - Gerontology | 9+ years Exp

747 N Rutledge St, 5th Floor, Springfield
  Illinois, 62702-6700
217-545-8000
Accepts Medicare Nurse Anesthetist in Springfield, Illinois.
Kathy Jean Stark is a Springfield, Illinois based nurse practitioner with 9 years of experience in Gerontology. She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kathy Jean Stark is 209014267 for Gerontology in Illinois. Her current practice location is 747 N Rutledge St, 5th Floor, Springfield. Patients can reach her at 217-545-8000 or can fax her at 217-545-7063. Kathy Jean Stark is AGPCNP-BC with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1457704025.
Kathy Jean Stark is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Kathy Jean Stark speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Kathy Jean Stark
Specialization: Gerontology Nurse Practitioner (AGNP)
Gender:Female
Credentials: AGPCNP-BC
Experience: 9+ years
Medical School Attended:Other
Graduation Year:2015
Accepts Medicare Assignment:Yes
Practice Address:747 N Rutledge St, 5th Floor, Springfield,
Illinois, 62702-6700
Phone:217-545-8000
Fax:217-545-7063
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 1254629751
Enrollment ID: I20161017002079
NPI Number: 1457704025
NPI Enumeration Date: 19 Jul, 2016
NPI Last Update On: 07 Dec, 2020

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathy Jean Stark are as mentioned below.
License NumberSpecializationStateStatus
209014267Gerontology IllinoisPrimary
209014267Adult Health IllinoisSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(140148)Springfield, ILAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Kathy Jean Stark is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Siu Physicians And Surgeons Inc (2365352820)251
Other Medical Identifiers:
Other legacy medical identifiers associated with Kathy Jean Stark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
209014267MedicaidIllinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Kathy Jean Stark
747 N Rutledge St, Po Box 19627
Springfield, Illinois
Zip: 62702-6700
Phone Number: 217-545-8000
Fax Number: 217-545-7063
Patients can reach Kathy Jean Stark at 747 N Rutledge St, 5th Floor, Springfield, Illinois or can call to book an appointment on 217-545-8000.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.