VANESSA STARK (PA) – Physical Therapy Assistant, NPI 1124334164
Physical Therapy Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for VANESSA STARK (PA)
14901 SW 4TH ST
PEMBROKE PINES, FL 330271308
Phone: (305) 405-0400
Fax: (305) 405-0415
Type: Mailing
16249 BISCAYNE BLVD
AVENTURA, FL 331604300
Phone: (305) 405-0400
Fax: (305) 405-0415
Type: Location
2801 NE 213TH ST STE 1001
AVENTURA, FL 331801265
Phone: (305) 466-9111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 92 Open Payments records for all available years, with a total value of $3,850.
Total Amount is formed as General ($3,850) + Research ($0) + Ownership ($0) = $3,850.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: BIOTRONIK NRO, Inc. ($2,678).
Total Amount
$3,850
General + Research + Ownership
Payments
92
Total payment records
General Amount
$3,850
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTRONIK NRO, Inc. | $2,678 |
| Myriad Genetic Laboratories, Inc. | $347 |
| Astellas Pharma US Inc | $234 |
| Janssen Biotech, Inc. | $160 |
| Verity Pharmaceuticals Inc. | $99 |
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: 2022-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20221114003107 | I | Physician Assistant | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| - | FL | |
| Pain Management, Osteopathic Manipulative Medicine | AZ | |
| Pain Management, Anesthesiology | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Diagnostic Radiology | FL |
Reviews
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