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SHANNON LYNN STARK NP
NPI 1730645763
Nurse Practitioner - Family in Mesa, AZ

Active since February 14, 2019PECOS EnrolledAccepts Medicare Assignment
2735 E MAIN ST STE 2&3, MESA, AZ 85213(480) 867-1722(480) 867-1709 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2022, Feb 14, 2019 (2 updates tracked since 2019).

About Shannon Lynn Stark Np NPPES

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

SHANNON LYNN STARK NP (NPI 1730645763) is an individual family provider in Mesa, Arizona, licensed in Arizona (222543) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730645763
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON LYNN STARKCredential: NP
Location Address2735 E MAIN ST STE 2&3Mesa, AZ 85213-9269
Mailing Address11261 E Raleigh AveMesa, AZ 85212-4084 · (480) 353-6758
Phone(480) 867-1722
Fax(480) 867-1709
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 14, 2019
Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1730645763 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 AZ · 222543
2735 E MAIN ST STE 2&3, Mesa, AZ 85213
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13833 E Thomas Rd Ste A2Phoenix, AZ 85018-7523 · Phone (602) 671-7066 · Fax (602) 671-6908
Location 2690 E Warner Rd Ste 133Gilbert, AZ 85296-3057 · Phone (480) 892-1212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and more.Insurance ›

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

Shannon Lynn Stark Np 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 ID8123369212
PECOS Enrollment IDI20190418001998
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 Reassignments

5

Medicare enrollment records show Shannon Stark reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Punyakam PLLC
5.4 mi
Family Medicine
690 E WARNER RD STE 133
Gilbert, AZ 85296
  • Reassigned Medicare billing, Arizona enrollment
  • 2 clinicians in this Medicare group
NPI 1073807202 (480) 892-1212
Kmtrask, PLLC
7.4 mi
Nurse Practitioner
2200 E WILLIAMS FIELD RD STE 200
Gilbert, AZ 85295
  • Reassigned Medicare billing, Arizona enrollment
  • 39 clinicians in this Medicare group
NPI 1518413962 (480) 590-2123
Mulberry Medical LLC
8.6 mi
Family Medicine
5801 S MCCLINTOCK DR STE 104
Tempe, AZ 85283
  • Reassigned Medicare billing, Arizona enrollment
  • 42 clinicians in this Medicare group
NPI 1831980986 (623) 220-2601
Oak Street Health Physicians Group Of Arizona PLLC
13 mi
Primary Care
183 W APACHE TRL
Apache Junction, AZ 85120
  • Reassigned Medicare billing, Arizona enrollment
  • 93 clinicians in this Medicare group
NPI 1063083590 (480) 618-0945
Summit Medical Group Arizona LLC
27 mi
Family Medicine
5620 W THUNDERBIRD RD STE F1
Glendale, AZ 85306
  • Reassigned Medicare billing, Arizona enrollment
  • 251 clinicians in this Medicare group
NPI 1053810622 (844) 969-0686

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 2

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
105 services65 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
45 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85213 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Shannon Stark's NPI number?

The NPI number for Shannon Stark is 1730645763. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Where is Shannon Stark located?

Shannon Stark practices at 2735 E Main St Ste 2&3, Mesa, AZ 85213. The listed phone number is (480) 867-1722.

What is Shannon Stark's specialty?

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

Is Shannon Stark enrolled in Medicare?

Yes. Shannon 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 Shannon Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Stark reassigns Medicare benefits to 5 organizations: Punyakam PLLC (Gilbert, AZ), Kmtrask, PLLC (Gilbert, AZ), Mulberry Medical LLC (Tempe, AZ), Oak Street Health Physicians Group Of Arizona PLLC (Apache Junction, AZ) and Summit Medical Group Arizona LLC (Glendale, AZ). 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 Shannon Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Stark accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Shannon 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 Shannon Stark was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.