JODY A. STARK (NP) – Family Nurse Practitioner, NPI 1851472989
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
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Provider Addresses for JODY A. STARK (NP)
J, Alert Road, Gloucester-Southgate, Gloucester, Ottawa, Eastern Ontario, Ontario, K1V 1S2, Canada
ONTARIO, OR 979140020
Phone: (541) 889-2244
Fax: (541) 889-2626
Type: Mailing
932, West Idaho Avenue, Ontario, Malheur County, Oregon, 97914, United States
SUITE 100
ONTARIO, OR 979142155
Phone: (541) 889-2244
Fax: (541) 889-2626
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($19).
Total Amount
$111
General + Research + Ownership
Payments
7
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
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: 2007-12-24
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 |
|---|---|---|---|---|
| I20040206000952 | I | Nurse Practitioner | OR | TBD |
| I20071224000046 | I | Nurse Practitioner | ID | 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 | 381 | 188 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 287 | 175 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 153 | 105 | $0 |
| 81002 | Urinalysis, manual test | 125 | 69 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 102 | 102 | $0 |
Insurance plans in this area (ZIP 97914)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL |
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