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KIMBERLY M STARKS FNP
NPI 1265670335
Nurse Practitioner - Family in Springfield, MO

Active since January 28, 2009PECOS EnrolledAccepts Medicare Assignment
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-3911 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2023, Jul 27, 2022, May 11, 2022 and 1 more (4 updates tracked since 2018).

About Kimberly M Starks Fnp NPPES

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

KIMBERLY M STARKS FNP (NPI 1265670335) is an individual family provider in Springfield, Missouri, licensed in Missouri (2000173014) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Lebanon, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1265670335
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY M STARKSCredential: FNP
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing Address1235 E Cherokee StSpringfield, MO 65804-2203 · (417) 820-3911
Phone(417) 820-3911
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 28, 2009
Last NPPES UpdateFebruary 15, 20234 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1265670335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2000173014
1235 E CHEROKEE ST, Springfield, MO 65804
Open in Google Maps ↗

Other Identifiers 5

Other431560263Tricare West
OtherP00689760Railroad Medicare
Medicaid425509908MO
Medicaid176119758AR
Medicaid1265670335MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Kimberly M Starks 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 ID8628134194
PECOS Enrollment IDI20090309000068
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 9

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 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.
184 services172 patients
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.
112 services111 patients
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.
98 services95 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.
82 services80 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
52 services47 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
27 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

MR. SUJAN POUDEL M.D.
Internal Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2600
JANEL M OCHSE MD
Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2000
DR. DAWN E ZABLOCKI MD
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829
OLIVIA M. KILBURN CRNA
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829
VIRGINIA MCLAUGHLIN SLP
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 576-3741
MARGARET BROWN MONTGOMERY APRN
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-6569
DEVIN B MOORE PA-C
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-5400
JACQUELYN B MARSHALL CRNA
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Greene County (417) 820-2829

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 Kimberly Starks's NPI number?

The NPI number for Kimberly Starks is 1265670335. It was assigned to this individual provider in the NPPES registry on January 28, 2009.

Where is Kimberly Starks located?

Kimberly Starks practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-3911.

What is Kimberly Starks's specialty?

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

Is Kimberly Starks enrolled in Medicare?

Yes. Kimberly Starks 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.

What insurance does Kimberly Starks accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Kimberly Starks 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.

Is Kimberly Starks affiliated with any hospitals?

According to CMS data, Kimberly Starks is affiliated with Mercy Hospital Lebanon and Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Kimberly Starks was last updated on February 15, 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.