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NPI · 1063754208 · NPPES-sourced

Stark Medical Group PC

ActiveFamily Nurse Practitioner
NPI Number
1063754208
Type 2 · Organisation
Taxonomy Code
363LF0000X
Contact
(541) 889-2244
License OR · 079043254N1
Last Updated
About 3 years ago (Oct 2022)
Enumerated 2013-03-26
Primary practice addressOR · 97914-2155
932 W Idaho Ave Ste 100Ontario, OR 97914-2155
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About this NPIWhat this record shows.

NPI 1063754208 is registered to Stark Medical Group PC, a healthcare organisation classified as "Family Nurse Practitioner" and located at 932 W Idaho Ave Ste 100 in Ontario, Oregon. The organisation's authorised official is Brenda Stark. The organisation has been enumerated in the NPI registry since 2013.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2013-03-26
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Stark Medical Group PC accepts. To confirm in-network status with your specific health plan, contact Stark Medical Group PC directly at (541) 889-2244.

Frequently asked

Yes. NPI 1063754208 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (541) 889-2244.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Stark Medical Group PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy363LF0000X
Last updated2022-10
Enumerated2013-03-26
StatusActive
Partneri
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