MARY KATHRYN STARK (RN, MS, FNP, DNP) – Registered Nurse, NPI 1871629055
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
Provider Addresses for MARY KATHRYN STARK (RN, MS, FNP, DNP)
2001 E MADISON ST
SEATTLE, WA 981222959
Phone: (206) 430-0316
Type: Mailing
3668 N HARBOR LN
BOISE, ID 837036914
Phone: (800) 769-0045
Type: Location
1691 THE ALAMEDA
SAN JOSE, CA 951262203
Phone: (206) 430-0316
Type: Mailing
2330 NE Division St
Bend, OR 977033530
Phone: (503) 788-7273
Type: Location
932 W Idaho Ave
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)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-16
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 |
|---|---|---|---|---|
| I20070920000149 | I | Nurse Practitioner | OR | TBD |
| I20260216001603 | I | Nurse Practitioner | CA | 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 | 14 | 14 | $0 |
Insurance plans in this area (ZIP 98122)
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