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MRS. CHARLOTTE JANE STARK FNP NPI 1174521702


NPI Information

NPI: 1174521702
Provider Name: MRS. CHARLOTTE JANE STARK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2800 FAYETTEVILLE RD
VAN BUREN, AR
ZIP 72956
Phone: (479) 314-4000
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MRS. Charlotte Jane Stark, FNP is a family nurse practitioner in Van Buren, AR with 23 years of experience. MRS. Charlotte Jane Stark, FNP NPI is 1174521702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2800 FAYETTEVILLE RD
VAN BUREN, AR
ZIP 72956-523
Phone: (479) 314-4000
Fax: (479) 314-4050

The NPI 1174521702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Urinalysis, manual test (HCPCS:81002)
  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 7/8/2005 and was last updated on 7/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner80977COLORADONo
2363LF0000XNurse PractitionerFamily219426ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
184-1090521008OTHERROCKY MTN HEALTH PLANS
2500027209OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.