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AMANDA STARK
NPI 1316414642
Nurse Practitioner - Family in Maumelle, AR

Active since October 24, 2018PECOS Enrolled
123 AUDUBON DR STE 600, MAUMELLE, AR 72113(501) 803-9481 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Stark NPPES

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

AMANDA STARK (NPI 1316414642) is an individual family provider in Maumelle, Arkansas, licensed in Arkansas (A005801) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316414642
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA STARK
Location Address123 AUDUBON DR STE 600Maumelle, AR 72113-5506
Mailing Address3423 N Magnolia StNorth Little Rock, AR 72116-8705 · (985) 640-4610
Phone(501) 803-9481
Sole ProprietorNo
Enumeration DateOctober 24, 2018
✔ NPI 1316414642 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 AR · A005801
123 AUDUBON DR STE 600, Maumelle, AR 72113
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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 (PECOS)

Amanda Stark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Amanda Stark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arkansas Family Medicine PA
6.9 mi
Family Medicine
15400 CHENAL PKWY, SUITE 130
Little Rock, AR 72211
  • Reassigned Medicare billing, Arkansas enrollment
  • 6 clinicians in this Medicare group
NPI 1902340052 (501) 725-7919

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 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.
84 services69 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.
78 services64 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.
51 services45 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
30 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72113 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.

Other Providers at the Same Location NPPES

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

CINDY M STONE APRN
Nurse Practitioner (Family)
123 AUDUBON DR STE 600
MAUMELLE, AR 72113
Pulaski County (501) 734-0251

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 Amanda Stark's NPI number?

The NPI number for Amanda Stark is 1316414642. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Amanda Stark located?

Amanda Stark practices at 123 Audubon Dr Ste 600, Maumelle, AR 72113. The listed phone number is (501) 803-9481.

What is Amanda Stark's specialty?

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

Is Amanda Stark enrolled in Medicare?

Yes. Amanda Stark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Stark reassigns Medicare benefits to Arkansas Family Medicine PA (Little Rock, 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 Amanda Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Stark accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Amanda 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 Amanda Stark was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.