Shana S Stark, N.P.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

111628 Issued in NE

Practice address

2905 W Peach St
Lincoln, NE 68522-4438

Phone

(402) 467-4418

Fax

(888) 965-0959

NPI assigned

Feb 20, 2014

Last updated

Jun 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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

• Value Based Long Term Care B PC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1194498808
  NPD
• The Express Clinic, LLC

  dba Express Care Clinic

  • Clinic/Center
  • Lincoln, NE
  • NPI 1831252121
  NPD (past)

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1124443676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 W PEACH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685224438",
            "telephone_number": "402-328-8833",
            "fax_number": "888-965-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 W PEACH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685224438",
            "telephone_number": "402-467-4418",
            "fax_number": "888-965-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "SHANA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201501818NP-PP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "111628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRY HEALTH DISTRICT NPI",
            "identifier": "1487696985",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500684342",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRY HEALTH DISTRICT TAX ID",
            "identifier": "930937095",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darcy Stark
• Gerold J Stark, MD
• Hayden Stark
• Heidi J. Stark, D.D.S.
• Philip Konrad Stark
• Susana Stark
• Samantha Starks
• Carol E. Starner, LIMHP
• Amaya Breanne Staroscik
• Alexis Starr

• Primary Care Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Primary Care Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.