ANDREA STARK APRN
NPI 1568247229
Nurse Practitioner - Family in Paxton, IL

Q: What is Andrea Stark's NPI number?

The NPI number for Andrea Stark is 1568247229. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Q: What is Andrea Stark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Stark was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 30, 2023PECOS EnrolledAccepts Medicare Assignment

227 N MARKET ST, PAXTON, IL 60957(217) 379-4864(217) 379-2604 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Andrea Stark Aprn NPPES

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

ANDREA STARK APRN (NPI 1568247229) is an individual family provider in Paxton, Illinois, licensed in Illinois (209028190) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1568247229

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDREA STARKCredential: APRN

Location Address227 N MARKET STPaxton, IL 60957-1123

Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 784-4251

Phone(217) 379-4864

Fax(217) 379-2604

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 30, 2023

Last NPPES UpdateFebruary 14, 2024

NPPES CertifiedFebruary 14, 2024

✔ NPI 1568247229 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 IL · 209028190

227 N MARKET ST, Paxton, IL 60957

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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

Andrea Stark Aprn 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 ID3971958752

PECOS Enrollment IDI20231013002728

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

Gibson Community Hospital Association

Same address

Rural Health

227 N MARKET ST
Paxton, IL 60957

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1356884993 (Illinois)
201 clinicians in this Medicare group

NPI 1992700595 (217) 379-4864

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Gibson Community Hospital

Critical Access Hospitals · Gibson City, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141317

Location1120 N Melvin StreetGibson City, IL 60936 · Ford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60957 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 10

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

DR. DONALD PEARSON REESE M.D.

Family Medicine