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JACQUELINE STARK CRNA
NPI 1396742284
Nurse Anesthetist, Certified Registered in Anaheim, CA

Active since July 07, 2005Accepts Medicare Assignment
86.44/100
CMS Quality Rating
3350 W BALL RD, ANESTHESIA DEPARTMENT, ANAHEIM, CA 92804(714) 827-6700 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline Stark Crna NPPES

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

JACQUELINE STARK CRNA (NPI 1396742284) is an individual nurse anesthetist, certified registered in Anaheim, California, licensed in California (3393) and active in the NPI registry since July 2005. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1396742284
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJACQUELINE STARKCredential: CRNA
Location Address3350 W BALL RD, ANESTHESIA DEPARTMENTAnaheim, CA 92804-3710
Mailing Address210 N Tustin AveSanta Ana, CA 92705-3807 · (714) 347-1010 · Fax (714) 647-1245
Phone(714) 827-6700
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 15, 2010
✔ NPI 1396742284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 3393
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedSpecialistTaxonomy 174400000X · License R148323 (MD)
3350 W BALL RD, Anaheim, CA 92804
Open in Google Maps ↗

Other Identifiers 4

Medicare PINBG373YCA
Medicare PINH102892HI
Medicare PIN43BBDDCGA
Medicaid000831101MD

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

Jacqueline Stark Crna 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 ID9537125257
PECOS Enrollment IDI20090128000193

Medicare Billing Reassignments

7

Medicare enrollment records show Jacqueline Stark reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Los Angeles Auditor Controller
8.0 mi
Clinic/Center
10005 FLOWER ST
Bellflower, CA 90706
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Los Angeles
  • 1,939 clinicians in this Medicare group
NPI 1689695892 (310) 518-8803
Metro Nursing Anesthesia Services Inc.
9.8 mi
Nurse Anesthetist, Certified Registered
13740 ACTINA AVE
Bellflower, CA 90706
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1093970436 (213) 935-8795
Horieh Anesthesia Services
20 mi
Nurse Anesthetist, Certified Registered
5 HOLLAND, STE 101
Irvine, CA 92618
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1346953007 (949) 588-2190
Norya Inc
26 mi
Nurse Anesthetist, Certified Registered
26701 CROWN VALLEY PKWY
Mission Viejo, CA 92691
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1023583184 (949) 582-1090
Lgibson Anesthesia Inc
30 mi
Nurse Anesthetist, Certified Registered
9674 ARCHIBALD AVE STE 125
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
  • 66 clinicians in this Medicare group
NPI 1417473323 (909) 296-8930
Universal Pain Management Medical Corporation
54 mi
Specialist
819 AUTO CENTER DRIVE
Palmdale, CA 93551
  • Reassigned Medicare billing, California enrollment
  • 25 clinicians in this Medicare group
NPI 1427046655 (661) 267-6876
Allied Anesthesia Medical Group Inc
  • Reassigned Medicare billing, California enrollment
  • 420 clinicians in this Medicare group
No phone listed

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

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
312 services214 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92804 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.33
Improvement Activities40

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.

WILLIAM CAMACHO PMHNP-BC, RN
Nurse Practitioner (Psychiatric/Mental Health)
3350 W BALL RD
ANAHEIM, CA 92804
Orange County (714) 243-9000
BLUE WAVE ANESTHESIA GROUP, INC.
Anesthesiology
3350 W BALL RD
ANAHEIM, CA 92804
Orange County (714) 827-6700
ANDREW DANG PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3350 W BALL RD
ANAHEIM, CA 92804
Orange County (714) 243-9010
DR. SAHAR MATIN PHARM.D.
Pharmacist
3350 W BALL RD
ANAHEIM, CA 92804
Orange County (949) 755-9995
ANAHEIM COMMUNITY HOSPITAL, LLC
Psychiatric Hospital
3350 W BALL RD
ANAHEIM, CA 92804
Orange County (877) 467-2223
RALPH E CONNER III DO
Emergency Medicine
3350 W BALL RD
ANAHEIM, CA 92804
Orange County (714) 220-4533
OC PATH MEDICAL GROUP
Pathology (Anatomic Pathology & Clinical Pathology)
3350 W BALL RD
ANAHEIM, CA 92804
Orange County (714) 827-6701
OC TRANSCEND NURSING INC
Nurse Practitioner (Psychiatric/Mental Health)
3350 W BALL RD
ANAHEIM, CA 92804
Orange County (714) 243-9000

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 Jacqueline Stark's NPI number?

The NPI number for Jacqueline Stark is 1396742284. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Jacqueline Stark located?

Jacqueline Stark practices at 3350 W Ball Rd Anesthesia Department, Anaheim, CA 92804. The listed phone number is (714) 827-6700.

What is Jacqueline Stark's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jacqueline Stark enrolled in Medicare?

Yes. Jacqueline 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 Jacqueline Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Stark reassigns Medicare benefits to 7 organizations: County Of Los Angeles Auditor Controller (Bellflower, CA), Metro Nursing Anesthesia Services Inc. (Bellflower, CA), Horieh Anesthesia Services (Irvine, CA), Norya Inc (Mission Viejo, CA), Lgibson Anesthesia Inc (Rancho Cucamonga, CA) and 2 more organizations, listed in the Medicare section above. 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 Jacqueline Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Stark was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.