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

Q: 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.

Q: What is Jacqueline Stark's specialty?

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

Q: 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.

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: August 02, 2026.

On this page

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, and ordering and referring status from the CMS PECOS system.

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

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

Quality

58.33

Improvement Activities

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)