Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ms. Jacqueline A Stark, CPNP

Nurse Practitioner in Pleasant Prairie, WI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1811052319

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Registry record

Entity type Individual (Type 1)

Name Ms. Jacqueline A Stark

Credential CPNP

Sex Female

Practice address 12500 Aurora Dr, Pleasant Prairie, WI, 53158

Phone (262) 857-5000

Fax (262) 857-5001

Enumeration date Dec 26, 2006

Last updated in NPPES Aug 28, 2024

Taxonomy & licenses

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 6437 (WI) Secondary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 1999139490 (MO) Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 6437 (WI) Primary

Other identifiers

Identifier	Type	State	Issuer
100046653	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1811052319 active?

Yes, as of the latest NPPES snapshot, NPI 1811052319 is active (record last updated 2024-08-28).

How do I verify Jacqueline Stark's NPI record?

Cross-check NPI 1811052319 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-28.