Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY KATHRYN STARK RN, MS, FNP, DNP
NPI 1871629055
Nurse Practitioner - Family in Eugene, OR

Active since February 24, 2007PECOS EnrolledAccepts Medicare Assignment
3579 FRANKLIN BLVD, EUGENE, OR 97403(541) 344-9411 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2025, Nov 7, 2025, Mar 17, 2018 (3 updates tracked since 2018).

About Mary Kathryn Stark Rn, Ms, Fnp, Dnp NPPES

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

MARY KATHRYN STARK RN, MS, FNP, DNP (NPI 1871629055) is an individual family provider in Eugene, Oregon, licensed in Oregon (200750019NP) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1871629055
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY KATHRYN STARKCredential: RN, MS, FNP, DNP
Location Address3579 FRANKLIN BLVDEugene, OR 97403-2356
Mailing Address3579 Franklin BlvdEugene, OR 97403-2356 · (541) 344-9411
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 24, 2007
Last NPPES UpdateJune 10, 20263 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1871629055 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
Licenses Licensed in OR · 200750019NP Licensed in NV · 895557 Licensed in CA · 95037843 Licensed in WA · AP60171571
Also ListedRegistered NurseTaxonomy 163W00000X · License 704767 (CA)
3579 FRANKLIN BLVD, Eugene, OR 97403

Other Names 1

Former Name (1)Mary Kathryn Derieg Rn, Ms, Fnp, Dnp

Accepted Insurance

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

Mary Kathryn Stark Rn, Ms, Fnp, Dnp 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 ID8820182918
PECOS Enrollment IDI20260216001603
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 97403 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 9

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

Family Medicine
3579 FRANKLIN BLVD
EUGENE, OR 97403
Clinic/Center (Ambulatory Family Planning Facility)
3579 FRANKLIN BLVD
EUGENE, OR 97403
Nurse Practitioner
3579 FRANKLIN BLVD
EUGENE, OR 97403
Clinic/Center (Family Planning, Non-Surgical)
3579 FRANKLIN BLVD
EUGENE, OR 97403
Clinic/Center (Family Planning, Non-Surgical)
3579 FRANKLIN BLVD
EUGENE, OR 97403
Registered Nurse
3579 FRANKLIN BLVD
EUGENE, OR 97403
Registered Nurse
3579 FRANKLIN BLVD
EUGENE, OR 97403
Family Medicine
3579 FRANKLIN BLVD
EUGENE, OR 97403

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 Mary Stark's NPI number?

The NPI number for Mary Stark is 1871629055. It was assigned to this individual provider in the NPPES registry on February 24, 2007. The provider is also known as Mary Kathryn Derieg Rn, Ms, Fnp, Dnp.

Where is Mary Stark located?

Mary Stark practices at 3579 Franklin Blvd, Eugene, OR 97403. The listed phone number is (541) 344-9411.

What is Mary Stark's specialty?

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

Is Mary Stark enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Stark accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 2 other insurers list Mary 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 Mary Stark was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.