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MRS. CHARLOTTE JANE STARK FNP
NPI 1174521702
Nurse Practitioner - Family in Van Buren, AR

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
2800 FAYETTEVILLE RD, VAN BUREN, AR 72956(479) 314-4000(479) 314-4050 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2023, Mar 3, 2021 (2 updates tracked since 2021).

About Mrs. Charlotte Jane Stark Fnp NPPES

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

MRS. CHARLOTTE JANE STARK FNP (NPI 1174521702) is an individual family provider in Van Buren, Arkansas, licensed in Arkansas (219426) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Westcliffe, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1174521702
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CHARLOTTE JANE STARKCredential: FNP
Location Address2800 FAYETTEVILLE RDVan Buren, AR 72956-6523
Mailing Address2800 Fayetteville RdVan Buren, AR 72956-6523 · (479) 314-4000 · Fax (479) 314-4050
Phone(479) 314-4000
Fax(479) 314-4050
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 8, 2005
Last NPPES UpdateJuly 13, 20232 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1174521702 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 AR · 219426
Also ListedNurse PractitionerTaxonomy 363L00000X · License 80977 (CO)
2800 FAYETTEVILLE RD, Van Buren, AR 72956
Open in Google Maps ↗

Secondary Practice Location 1

Location 1704 Edwards StWestcliffe, CO 81252-8588 · Phone (719) 783-2380 · Fax (719) 783-2377

Other Identifiers 2

Other84-1090521008Rocky Mtn Health Plans
Other500027209Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Mrs. Charlotte Jane Stark Fnp 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 ID42450793
PECOS Enrollment IDI20220524001044
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 Reassignments

2

Medicare enrollment records show Charlotte Stark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic Fort Smith Communities
8.5 mi
Multi-Specialty
2901 S 74TH ST
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 658 clinicians in this Medicare group
NPI 1902073620 (479) 314-1101
Salida Hospital District
642 mi
Rural Health
704 EDWARDS ST
Westcliffe, CO 81252
  • Reassigned Medicare billing, Colorado enrollment
  • 206 clinicians in this Medicare group
NPI 1053790444 (719) 530-2000

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

Areas of Expertise CMS Part B claims 10

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.
281 services145 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.
66 services54 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
35 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services26 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
16 services15 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72956 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers15 claims15 services$101.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers15 claims42 services$38.25 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers13 claims78 services$19.98 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers19 claims19 services$67.00 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers21 claims21 services$19.84 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers24 claims24 services$20.34 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 4

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

MISTY ROSHEL GONZALEZ M.D.
Family Medicine
2800 FAYETTEVILLE RD
VAN BUREN, AR 72956
Crawford County (479) 314-4000
DR. CASSIDY RHODES DO
Family Medicine
2800 FAYETTEVILLE RD
VAN BUREN, AR 72956
Crawford County (479) 314-4000
STEFANIE A ELLIS APN
Nurse Practitioner (Family)
2800 FAYETTEVILLE RD
VAN BUREN, AR 72956
Crawford County (479) 314-4000
ROBERT R BAKER DO
Family Medicine
2800 FAYETTEVILLE RD
VAN BUREN, AR 72956
Crawford County (479) 314-4000

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 Charlotte Stark's NPI number?

The NPI number for Charlotte Stark is 1174521702. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Charlotte Stark located?

Charlotte Stark practices at 2800 Fayetteville Rd, Van Buren, AR 72956. The listed phone number is (479) 314-4000.

What is Charlotte Stark's specialty?

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

Is Charlotte Stark enrolled in Medicare?

Yes. Charlotte 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 organizations bill Medicare for Charlotte Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Stark reassigns Medicare benefits to 2 organizations: Mercy Clinic Fort Smith Communities (Fort Smith, AR) and Salida Hospital District (Westcliffe, CO). Each 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 Charlotte Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charlotte Stark accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Charlotte 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 Charlotte Stark was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.