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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessie Lyn Stark Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
What insurance does Jessie Stark accept?
Health plans from Blue Cross Blue Shield of Arizona 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
## 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.