LEITA N STARK (FNP-BC) – Family Nurse Practitioner, NPI 1760719447
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Loading map...
Provider Addresses for LEITA N STARK (FNP-BC)
95, Ivie Lane, Mantachie, Itawamba County, Mississippi, 38855, United States
MANTACHIE, MS 388558383
Phone: (662) 322-3278
Type: Mailing
5500, Mississippi Highway 363, Centerville, Mantachie, Itawamba County, Mississippi, 38855, United States
MANTACHIE, MS 388557197
Phone: (662) 282-4226
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 152 Open Payments records for all available years, with a total value of $2,466.
Total Amount is formed as General ($2,466) + Research ($0) + Ownership ($0) = $2,466.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($449).
Total Amount
$2,466
General + Research + Ownership
Payments
152
Total payment records
General Amount
$2,466
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $449 |
| PFIZER INC. | $382 |
| ABBVIE INC. | $371 |
| Otsuka America Pharmaceutical, Inc. | $293 |
| Lilly USA, LLC | $160 |
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: 2011-06-10
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 |
|---|---|---|---|---|
| I20110610000175 | I | Nurse Practitioner | MS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 689 | 328 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 376 | 59 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 282 | 155 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 210 | 140 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 180 | 121 | $0 |
Insurance plans in this area (ZIP 38855)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MS | |
| - | MS | |
| Family Practice | MS | |
| Family Practice | MS | |
| Family Practice | MS | |
| Family Practice | MS | |
| Nurse Practitioner | MS | |
| Emergency Medicine | MS | |
| Family Practice | MS | |
| Neurology, Psychiatry | MS |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.