Jessie Lyn Stark, FNP-C - Medicare Nurse Practitioner in Goodyear, AZ

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Jessie Lyn Stark, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Goodyear, Arizona. Her current practice location is 16430 W Yuma Rd, Goodyear, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 465-6405.

Jessie Lyn Stark is licensed to practice in Arizona (license number 306183) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225873201.

Contact Information

Jessie Lyn Stark, FNP-C
16430 W Yuma Rd,
Goodyear, AZ 85338-3102
(623) 465-6405
Not Available

Map and Direction




Provider's Profile

Full NameJessie Lyn Stark
GenderFemale
SpecialityNurse Practitioner - Family
Location16430 W Yuma Rd, Goodyear, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225873201
  • Provider Enumeration Date: 07/01/2024
  • Last Update Date: 07/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557809795
  • Enrollment ID: I20240819002357

Medical Identifiers

Medical identifiers for Jessie Lyn Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225873201NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 306183 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessie Lyn Stark allows following entities to bill medicare on her behalf.
Entity NameBanner Urgent Care Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316349855
PECOS PAC ID: 3678749496
Enrollment ID: O20111228000784
Entity NameBanner Urgent Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609229764
PECOS PAC ID: 4284921610
Enrollment ID: O20160928001188

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessie Lyn Stark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessie Lyn Stark, FNP-C
16430 W Yuma Rd,
Goodyear, AZ 85338-3102

Ph: (623) 465-6405		Jessie Lyn Stark, FNP-C
16430 W Yuma Rd,
Goodyear, AZ 85338-3102

Ph: (623) 465-6405

Reviews and Comments


Nurse Practitioner Nurses in Goodyear, AZ

Benilde Mwiseneza,
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Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395
Phone: 623-295-1190    
Miss Kathryn Leigh Miller, ACNPC-AG
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Phone: 623-512-4390    
Miss Natisha Lynn Zevnick, FNP-C
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Phone: 623-512-4390    
Hussein Haidar,
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Practice Location: 13555 W Mcdowell Rd Ste 205, Goodyear, AZ 85395
Phone: 623-295-1190    
Amanda Jo Frary, APRN
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Phone: 623-404-3046    
Shannon Torrez,
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Medicare: Medicare Enrolled
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Phone: 480-372-7703    
Ana Maria Fuentes, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14415 W Mcdowell Rd Ste D102, Goodyear, AZ 85395
Phone: 623-512-4190    Fax: 623-512-4194

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.