Shannon Lynn Stark, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

222543 Issued in AZ

Practice address

2735 E Main St Ste 2&3
Mesa, AZ 85213-9269

Phone

(480) 867-1722

Fax

(480) 867-1709

NPI assigned

Feb 14, 2019

Last updated

Feb 10, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kmtrask PLLCGroup PAC ID 8921386483, 15 clinicians

Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Canyon Home Care & Hospice Home health agency, Gilbert, AZ, CCN 037418

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.shumway@71082555932676.direct.elationemr.com

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.

• Kmtrask, PLLC

  • Nurse Practitioner
  • Gilbert, AZ
  • NPI 1518413962
  Medicare reassignment Care Compare group NPD
• Oak Street Health Physicians Group of Arizona PLLC

  • Primary Care Clinic/Center
  • Apache Junction, AZ
  • NPI 1063083590

  Family

  Medicare reassignment Care Compare group NPD
• Punyakam PLLC

  dba AVISTA Medical Center & Weight Loss

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1073807202
  Medicare reassignment NPD
• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  Medicare reassignment NPD
• Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC

  dba Azitts

  • Adult Mental Health Clinic/Center
  • Mesa, AZ
  • NPI 1821639642
  NPD
• Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC

  dba Azitts

  • Family Health Clinical Nurse Specialist
  • Mesa, AZ
  • NPI 1629554126
  NPD (past)

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

• American Medical Homecare Alliance Inc.

  dba Canyon Home Care & Hospice

  • Home Health Agency
  • Gilbert, AZ
  • NPI 1427328004
  Care Compare affiliation

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1730645763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11261 E RALEIGH AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852124084",
            "telephone_number": "480-353-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 E MAIN ST STE 2&3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852139269",
            "telephone_number": "480-867-1722",
            "fax_number": "480-867-1709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3833 E Thomas Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850187523",
            "country_code": "US",
            "telephone_number": "602-671-7066",
            "fax_number": "602-671-6908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "690 E Warner Rd Ste 133",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852963057",
            "country_code": "US",
            "telephone_number": "480-892-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "SHANNON",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "222543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Michelle Stapleton, RDN
• Stapley Dental Group, Professional Corporation (Arbor Smiles)
• Kent Wayne Stapley, D.M.D.
• Connor Stark, MS, MAS, LAMFT
• Nancy Stark, OTR/L
• Tasha Annette Stark, PA-C
• Sara Starks
• Starlight Behavior, LLC
• Danielle Starlin, BHT
• Sarah Starr, COTA L

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.