Individual provider Active NPI

Stacy Lynn Clarke, FNP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1114508298
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021013570 Issued in MO
Practice address
9001 State Line Rd Ste 300
Kansas City, MO 64114-3212
Phone
(816) 363-2600
Fax
(816) 523-0068
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-80328 KS
Family Nurse Practitioner 363LF0000X 2021013570 MO Primary

Addresses

Primary practice location

9001 State Line Rd Ste 300
Kansas City, MO 64114-3212

Mailing address

9001 State Line Rd Ste 300
Kansas City, MO 64114-3212
Phone (816) 363-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220106000847 MO Practitioner - Nurse Practitioner 8820489545 Reassigns benefits to 5 organizations
I20220615000948 KS Practitioner - Nurse Practitioner 8820489545 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Hospice IncGroup PAC ID 3971413295, 11 clinicians
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians

Practice addresses (Care Compare)

10100 W 87TH St
Suite 100
Overland Park, KS 66212-4628
Phone (816) 363-2600

2885 Technology Dr
Lake St Louis, MO 63367-4123
Phone (337) 991-9276

400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276

9001 State Line Rd
Suite 300
Kansas City, MO 64114-3212
Phone (816) 363-2600

9100 Park St
Lenexa, KS 66215-3353
Phone (816) 822-0050

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-80328KSMDFamily Nurse Practitioner
2021013570MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Hospice, Inc CurrentSince Jun 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Mar 5, 2022 Accepting new patients
Empowerme Medical Group, PC CurrentSince Jun 1, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Jun 1, 2023 Accepting new patients
Kansas City Hospice, Inc CurrentSince Jun 1, 2025 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Jun 13, 2022 Accepting new patients
CH Specialty Services Mo LLC CurrentSince Oct 25, 2023 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Oct 25, 2023 Accepting new patients
CH Specialty Services KS LLC CurrentSince Nov 1, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Jul 5, 2023 Accepting new patients

Locations

12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808

9100 Park St
Ste 280
Lenexa, KS 66215

9100 Park St
Lenexa, KS 66215
Phone (913) 888-1900

10100 W 87th St
Ste 100
Overland Park, KS 66212
Phone (913) 894-8228

15201 Olive Blvd
Chesterfield, MO 63017
Phone (636) 532-1515

8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570

9001 State Line Rd
Ste 300
Kansas City, MO 64114

904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

2885 Technology Dr
Lake St Louis, MO 63367
Phone (314) 259-1044

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

1538 N Old Castle Rd
Nixa, MO 65714
Phone (417) 724-8188

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 13

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 13

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1114508298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143212",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 STATE LINE RD STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143212",
            "telephone_number": "816-363-2600",
            "fax_number": "816-523-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80328",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021013570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.