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JENNIFER STARK FNP-BC
NPI 1417371576
Nurse Practitioner - Family in Saint Louis, MO

Active since February 10, 2014PECOS Enrolled
12700 SOUTHFORK RD STE 153, SAINT LOUIS, MO 63128(314) 543-5283 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Stark Fnp-bc NPPES

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

JENNIFER STARK FNP-BC (NPI 1417371576) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2025023492) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2025).

NPPES Registry Identity

NPI1417371576
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER STARKCredential: FNP-BC
Location Address12700 SOUTHFORK RD STE 153Saint Louis, MO 63128-3201
Mailing Address1450 E 10th StRolla, MO 65401-3648
Phone(314) 543-5283
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2025
Enumeration DateFebruary 10, 2014
Last NPPES UpdateJune 22, 2025
NPPES CertifiedJune 22, 2025
✔ NPI 1417371576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2025023492
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 2012021855 (MO)
12700 SOUTHFORK RD STE 153, Saint Louis, MO 63128
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Other Names 1

Former Name (1)Jennifer Rasnic

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 (PECOS)

Jennifer Stark Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315441938
PECOS Enrollment IDI20250917002520
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 3

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

DR. PAWAN S SETHI M.D.
Anesthesiology (Pain Medicine)
12700 SOUTHFORK RD STE 153
SAINT LOUIS, MO 63128
St. Louis County (314) 543-5283
KRISTA PARKER PA-C
Physician Assistant
12700 SOUTHFORK RD STE 153
SAINT LOUIS, MO 63128
St. Louis County (314) 543-5283
SARAH MARIE RANEY ACNP
Nurse Practitioner (Acute Care)
12700 SOUTHFORK RD STE 153
SAINT LOUIS, MO 63128
St. Louis County (314) 543-5283

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 Jennifer Stark's NPI number?

The NPI number for Jennifer Stark is 1417371576. It was assigned to this individual provider in the NPPES registry on February 10, 2014.

Where is Jennifer Stark located?

Jennifer Stark practices at 12700 Southfork Rd Ste 153, Saint Louis, MO 63128. The listed phone number is (314) 543-5283.

What is Jennifer Stark's specialty?

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

Is Jennifer Stark enrolled in Medicare?

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

What insurance does Jennifer Stark 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 3 other insurers list Jennifer 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 Jennifer Stark was last updated on June 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.