SHANNON GAIL STARK M.A. CCC/SLP, NP-C
NPI 1003129438
Nurse Practitioner - Family in Sidney, NY

Q: What is Shannon Stark's NPI number?

The NPI number for Shannon Stark is 1003129438. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Q: What is Shannon Stark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Stark was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 14, 2010PECOS EnrolledAccepts Medicare Assignment

86.64/100

CMS Quality Rating

39 PEARL ST W, SIDNEY, NY 13838(607) 561-2021 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shannon Gail Stark M.a. Ccc/slp, Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON GAIL STARK M.A. CCC/SLP, NP-C (NPI 1003129438) is an individual family provider in Sidney, New York, licensed in New York (343815) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1003129438

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON GAIL STARKCredential: M.A. CCC/SLP, NP-C

Location Address39 PEARL ST WSidney, NY 13838

Mailing Address205 Crocker Hill RdBinghamton, NY 13904-2513 · (212) 927-9706

Phone(607) 561-2021

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 14, 2010

Last NPPES UpdateFebruary 4, 2019

✔ NPI 1003129438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 343815

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 0106541 (NY)

39 PEARL ST W, Sidney, NY 13838

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Secondary Practice Location 1

Location 131 Park Ter W, #B9New York, NY 10034-1514 · Phone (212) 927-9706

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Gail Stark M.a. Ccc/slp, Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375885163

PECOS Enrollment IDI20190426000539

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

131 services88 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

118 services81 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

46 services46 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

21 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330085

LocationOne Norton AvenueOneonta, NY 13820 · Otsego County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13838 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.13

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers13 claims35 services$6.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ROCHELLE LEE CHERRONE FNP

Nurse Practitioner (Family)