Stacy Ann Clark, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3010213 Issued in KY

Practice address

1200 Breckenridge St
Owensboro, KY 42303-1089

Phone

(270) 683-7553

Fax

(270) 685-8226

NPI assigned

Apr 8, 2016

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 names 1

• Stacy N Clark Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Owensboro Medical Practice, PLLCGroup PAC ID 0446157671, 20 clinicians

Ak Healthcare Management Inc.Group PAC ID 7618015421, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.kuegel.1@18192.direct.athenahealth.com

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.

• Ak Healthcare Management Inc

  • Family Nurse Practitioner
  • Owensboro, KY
  • NPI 1053644401
  Medicare reassignment Care Compare group NPD
• Owensboro Medical Practice, PLLC

  • Cardiovascular Disease Physician
  • Owensboro, KY
  • NPI 1851315105

  Family

  Medicare reassignment Care Compare group NPD
• Ack Healthcare Management, LLC

  • Nurse Practitioner
  • Lewisport, KY
  • NPI 1154748986
  Medicare reassignment NPD
• Ack Healthcare Management LLC

  • Rural Health Clinic/Center
  • Leitchfield, KY
  • NPI 1356927826
  NPD
• Ack Healthcare Management LLC

  • Nurse Practitioner
  • Leitchfield, KY
  • NPI 1700395654
  NPD

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1295199941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 W STATE ROUTE 66",
            "address_2": "# A",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302534",
            "telephone_number": "270-663-0955",
            "fax_number": "270-663-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BRECKENRIDGE ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031089",
            "telephone_number": "270-683-7553",
            "fax_number": "270-685-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010213",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007669A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "CLARK",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsey Michele Clark, BIS
• Mary Lisa Clark, PHARM D
• Ritchie L Clark, M.D.
• Ronsonlyn S Clark, CADC
• Ryan Alexander Clark, DPT
• Stephanie K Clark, M SP ED
• Sydne Justine Clark, M.S., OTR/L
• Tara Clark
• Teresa May Clark, MSOT, OTR/L
• Kristen Danielle Clary, DNP, APRN, FNP-C

• Family Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.