JESSIE LYN STARK FNP-C
NPI 1225873201
Nurse Practitioner - Family in Goodyear, AZ
About Jessie Lyn Stark Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSIE LYN STARK FNP-C (NPI 1225873201) is an individual family provider in Goodyear, Arizona, licensed in Arizona (306183) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessie Lyn Stark Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jessie Stark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scottsdale, AZ 85253
- Reassigned Medicare billing, Arizona enrollment
- 184 clinicians in this Medicare group
Casa Grande, AZ 85122
- Reassigned Medicare billing, Arizona enrollment
- 171 clinicians in this Medicare group
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 85338 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessie Stark's NPI number?
The NPI number for Jessie Stark is 1225873201. It was assigned to this individual provider in the NPPES registry on July 1, 2024.
Where is Jessie Stark located?
Jessie Stark practices at 16430 W Yuma Rd, Goodyear, AZ 85338. The listed phone number is (623) 465-6405.
What is Jessie Stark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessie Stark enrolled in Medicare?
Yes. Jessie Stark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jessie Stark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Stark reassigns Medicare benefits to 2 organizations: Banner Urgent Care Services, LLC (Scottsdale, AZ) and Banner Urgent Care Arizona LLC (Casa Grande, AZ). 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 Jessie Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessie Stark accept?
Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Jessie 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 Jessie Stark was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jessie Lyn Stark, FNP-C · NPI 1225873201
Family physician in Goodyear, Arizona. Individual provider, active in the CMS NPPES registry since July 1, 2024.
## Identity
- **NPI:** 1225873201 (Entity type: Individual)
- **Enumerated:** July 1, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 306183 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 16430 W YUMA RD, Goodyear, AZ 85338-3102
- **Phone:** (623) 465-6405
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Banner Urgent Care Services, LLC (NPI 1609229764, Scottsdale, AZ); Banner Urgent Care Arizona LLC (NPI 1316349855, Casa Grande, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225873201) · Data from the CMS NPPES public registry.