MRS. CHARLOTTE JANE STARK (FNP) – Family Nurse Practitioner, NPI 1174521702
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,198 NURSE PRACTITIONER in CO
Provider Addresses for MRS. CHARLOTTE JANE STARK (FNP)
704 EDWARDS ST
WESTCLIFFE, CO 812528588
Phone: (719) 783-2380
Fax: (719) 783-2377
Type: Mailing
704 Edwards St
Westcliffe, CO 812528588
Phone: (719) 783-2380
Fax: (719) 783-2377
Type: Location
2800 FAYETTEVILLE RD
VAN BUREN, AR 729566523
Phone: (479) 314-4000
Fax: (479) 314-4050
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $226.
Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($119).
Total Amount
$226
General + Research + Ownership
Payments
13
Total payment records
General Amount
$226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130701000602 | I | Nurse Practitioner | CO | TBD |
| I20220524001044 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 139 | 116 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 47 | 47 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 28 | 14 | $0 |
| 81003 | Automated urinalysis test | 24 | 22 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 24 | 24 | $0 |
Insurance plans in this area (ZIP 81252)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | CO | 81002 | Urinalysis, manual test | 118 | 81 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | AR | |
| Family Practice | AR | |
| - | AR | |
| Family Practice | IL | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| - | OK | |
| G A S T R O E N T E R O L O G Y | AR | |
| Nurse Practitioner | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR |
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