Individual provider Active NPI

Tracey Ann Stark, ARNP

  • Nurse Practitioner
  • Scott City, KS
National Provider Identifier
1013104900
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
74301 Issued in KS
Practice address
204 S College St
Scott City, KS 67871
Phone
(620) 872-2187
Fax
(620) 872-2830
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 74301 KS Primary

Addresses

Primary practice location

204 S College St
Scott City, KS 67871

Mailing address

204 S College St
Scott City, KS 67871
Phone (620) 872-2187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000572 KS Practitioner - Nurse Practitioner 0840247870 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rooks County Health CenterGroup PAC ID 8325959331, shared by 7 NPIs, 40 clinicians
Ashland District HospitalGroup PAC ID 6800849324, shared by 4 NPIs, 13 clinicians

Practice addresses (Care Compare)

107 S Spruce St
Stockton, KS 67669-1200
Phone (785) 425-6921

1210 N Washington St
Plainville, KS 67663-1632
Phone (785) 434-2622

625 Kentucky St
Ashland, KS 67831-3199
Phone (620) 635-2241

Hospital & facility affiliations

  • Rooks County Health Center Hospital, Plainville, KS, CCN 171311

Merit-based Incentive Payment System (MIPS)

Final score
89.83 of 100Reported as group
Quality
82.73
Promoting interoperability
100
Improvement activities
40
Cost
83.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
74301KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Regional Medical Center Corporation CurrentSince Sep 28, 2013 Accepting new patients
Rooks County Health Center CurrentSince Jul 28, 2025 Accepting new patients
William Newton Memorial Hospital CurrentSince Dec 10, 2025 Accepting new patients
Rooks County Health Center Current Accepting new patients
Lincoln County Hospital Current Accepting new patients
Ashland District Hospital CurrentSince Feb 1, 2026 Accepting new patients
Rooks County Health Center CurrentSince Jul 28, 2025 Accepting new patients
Lincoln County Hospital CurrentSince Oct 1, 2016 Accepting new patients
Rooks County Health Center CurrentSince Jul 28, 2025 Accepting new patients
William Newton Memorial Hospital CurrentSince Dec 10, 2025 Accepting new patients
Pratt Regional Medical Center Corporation CurrentSince Sep 28, 2013 Accepting new patients
Ashland District Hospital CurrentSince Feb 1, 2026 Accepting new patients
William Newton Memorial Hospital Past Accepting new patients
Ashland Hospital District #3 Past Accepting new patients

Locations

625 Kentucky St
Ashland, KS 67831
Phone (620) 635-2222

625 Kentucky St
#188
Ashland, KS 67831
Phone (620) 635-2241

1206 W Frontview St
Ste 203
Dodge City, KS 67801
Phone (620) 225-7710

624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403

313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474

200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476

203 Watson St
Ste 300
Pratt, KS 67124
Phone (620) 672-1002

124 Commodore St
Ste B
Pratt, KS 67124
Phone (620) 393-5661

1300 E 5th Ave
Winfield, KS 67156
Phone (620) 221-2300

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1013104900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S COLLEGE ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "67871",
            "telephone_number": "620-872-2187",
            "fax_number": "620-872-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S COLLEGE ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "67871",
            "telephone_number": "620-872-2187",
            "fax_number": "620-872-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "TRACEY",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "74301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott City, KS

Sources for this page

Verify at the official NPI Registry.