1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Family Medicine
  6. NPI Profile

JULIE MARIA STARK MD
NPI 1902018641
Family Medicine in Fort Wayne, IN

Active since May 04, 2007PECOS Enrolled
81.23/100
CMS Quality Rating
436 E WASHINGTON BLVD, FORT WAYNE, IN 46802(260) 209-7111(260) 222-2835 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2024, Aug 12, 2024, Jul 26, 2022 and 3 more (6 updates tracked since 2020).

About Julie Maria Stark Md NPPES

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

JULIE MARIA STARK MD (NPI 1902018641) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (01073161A) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Missouri, Columbia School Of Medicine (2005).

NPPES Registry Identity

NPI1902018641
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJULIE MARIA STARKCredential: MD
Location Address436 E WASHINGTON BLVDFort Wayne, IN 46802-3210
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 209-7111
Fax(260) 222-2835
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2005
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 19, 20246 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1902018641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01073161A✔ Licensed in IL · 036121864
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
436 E WASHINGTON BLVD, Fort Wayne, IN 46802
Open in Google Maps ↗

Other Names 1

Former Name (1)Julie Maria Donnelly Md

Secondary Practice Locations 3

Location 17333 W Jefferson BlvdFort Wayne, IN 46804 · Phone (260) 458-3830
Location 23475 So Alpine Rd, Physicians Immediate CareRockford, IL 61109-2604 · Phone (815) 874-8000 · Fax (815) 874-7525
Location 31306 E 7th St Ste AAuburn, IN 46706-2537 · Phone (260) 925-1255 · Fax (260) 925-1256

Other Identifiers 1

Medicaid201190690IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Maria Stark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597814350
PECOS Enrollment IDI20140108001530
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

2

Medicare enrollment records show Julie Stark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Parkview Health System,inc.
7.6 mi
Gastroenterology
11104 PARKVIEW CIRCLE DR STE 310
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1437461449 (260) 266-5230
Osh-In Physicians Group, PC
100 mi
Primary Care
2240 E 53RD ST STE B1
Indianapolis, IN 46220
  • Reassigned Medicare billing, Indiana enrollment
  • 80 clinicians in this Medicare group
NPI 1073995338 (317) 933-7047

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

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 8

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

KEEGAN WILLIAMS
Social Worker (Clinical)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 200-5347
NOVA PHYSICIAN GROUP PLLC
Clinic/Center (Primary Care)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 298-6240
LISA MICHELLE HOLTSCLAW D.O.
Family Medicine
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111
MARRISA CULVER APN
Nurse Practitioner (Family)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111
DR. CYNTHIA GANNON MD
Family Medicine
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 264-7711
RENEE C KUESS PHARMD
Pharmacist (Ambulatory Care)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 200-5347
BAMBI L MEYER LCSW, MSW
Social Worker (Clinical)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111
AIMEE BELL NP-C
Nurse Practitioner (Family)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111

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 Julie Stark's NPI number?

The NPI number for Julie Stark is 1902018641. It was assigned to this individual provider in the NPPES registry on May 4, 2007. The provider is also known as Julie Maria Donnelly MD.

Where is Julie Stark located?

Julie Stark practices at 436 E Washington Blvd, Fort Wayne, IN 46802. The listed phone number is (260) 209-7111.

What is Julie Stark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Julie Stark enrolled in Medicare?

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

Which organizations bill Medicare for Julie Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Stark reassigns Medicare benefits to 2 organizations: Parkview Health System,inc. (Fort Wayne, IN) and Osh-In Physicians Group, PC (Indianapolis, IN). 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 Julie Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julie Stark accept?

Health plans from Anthem Blue Cross and Blue Shield list Julie 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 Julie Stark was last updated on August 19, 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.