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JEREMY M STARK LCSW
NPI 1154772689
Social Worker - Clinical in Fayetteville, AR

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 695-1240(479) 750-4843 Get Directions Write a Review

NPPES record last updated: December 14, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2018, Aug 16, 2016, Jun 27, 2016 (3 updates tracked since 2016).

About Jeremy M Stark Lcsw NPPES

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

JEREMY M STARK LCSW (NPI 1154772689) is an individual clinical provider in Fayetteville, Arkansas, licensed in Arkansas (8044-C) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1154772689
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEREMY M STARKCredential: LCSW
Location Address60 W SUNBRIDGE DRFayetteville, AR 72703-1822
Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020 · Fax (479) 750-4843
Phone(479) 695-1240
Fax(479) 750-4843
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 27, 2016
Last NPPES UpdateDecember 14, 20183 updates tracked since enumeration
✔ NPI 1154772689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AR · 8044-C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 8044-M (AR)
60 W SUNBRIDGE DR, Fayetteville, AR 72703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy M Stark Lcsw 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 ID4587900618
PECOS Enrollment IDI20190110003040
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.

Medicare Billing Reassignment

Medicare enrollment records show Jeremy Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Francis House Nwa, Inc
2.1 mi
Federally Qualified Health Center (FQHC)
2630 E CITIZENS DR STE 3
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1740578897 (Arkansas)
  • 55 clinicians in this Medicare group
NPI 1194587279 (479) 527-9966

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$0.00 typical visit price
range $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

AIRITY C HESINGTON LCSW
Social Worker (Clinical)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
HUONG MARY CHU LCSW
Social Worker (Clinical)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1242
JASMEN MARTY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
CANDICE Y MARTIN
Counselor (Mental Health)
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
ANNIKA D PERRY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
TAYLOR KENNEDY
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
MATTHEW BANCROFT
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240
KATY FERNANDEZ
Case Manager/Care Coordinator
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703
Washington County (479) 695-1240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Stark's NPI number?

The NPI number for Jeremy Stark is 1154772689. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Jeremy Stark located?

Jeremy Stark practices at 60 W Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 695-1240.

What is Jeremy Stark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeremy Stark enrolled in Medicare?

Yes. Jeremy Stark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeremy Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Stark reassigns Medicare benefits to St Francis House Nwa, Inc (Fayetteville, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Stark accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Jeremy Stark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy Stark was last updated on December 14, 2018. 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.