BONNIE LISA STARK FNP
NPI 1669744504
Nurse Practitioner - Family in Rogersville, MO

Q: What is Bonnie Stark's NPI number?

The NPI number for Bonnie Stark is 1669744504. It was assigned to this individual provider in the NPPES registry on February 8, 2012.

Q: What is Bonnie 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 Bonnie Stark was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 February 08, 2012PECOS Enrolled

101 S MAIN ST, ROGERSVILLE, MO 65742(417) 753-9404(417) 753-9137 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2023, Aug 18, 2022, Jan 28, 2020 (3 updates tracked since 2020).

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About Bonnie Lisa Stark Fnp NPPES

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

BONNIE LISA STARK FNP (NPI 1669744504) is an individual family provider in Rogersville, Missouri, licensed in Missouri (2012003616) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669744504

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBONNIE LISA STARKCredential: FNP

Location Address101 S MAIN STRogersville, MO 65742-9357

Mailing Address101 S Main StRogersville, MO 65742-9357 · (417) 753-9404 · Fax (417) 753-9137

Phone(417) 753-9404

Fax(417) 753-9137

Sole ProprietorNo

Enumeration DateFebruary 8, 2012

Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1669744504 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 MO · 2012003616

101 S MAIN ST, Rogersville, MO 65742

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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 (PECOS)

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

Sgoh Acquisition Inc

15 mi

Clinic/Center

1540 E EVERGREEN ST
Springfield, MO 65803

Reassigned Medicare billing, Missouri enrollment
119 clinicians in this Medicare group

NPI 1114924768 (417) 823-2900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65742 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier14 claims16 services$202.92 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

JESSICA N RICE FNP-C

Nurse Practitioner (Family)