Mrs Charlotte Jane Stark, FNP in Van Buren, AR

Mrs Charlotte Jane Stark, FNP is a medicare enrolled "Nurse Practitioner - Family" in Van Buren, Arkansas. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Clinic Fort Smith Communities and her current practice location is 2800 Fayetteville Rd, Van Buren, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 314-4000.

Mrs Charlotte Jane Stark is licensed to practice in Arkansas (license number 219426) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174521702.

Contact Information

	Mrs Charlotte Jane Stark, FNP
	2800 Fayetteville Rd, Van Buren, AR 72956-6523
	(479) 314-4000
	(479) 314-4050

Map and Direction

Provider's Profile

Full Name	Mrs Charlotte Jane Stark
Gender	Female
Speciality	Nurse Practitioner
Experience	23 Years
Location	2800 Fayetteville Rd, Van Buren, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Charlotte Jane Stark graduated from nursing school in 2001

NPI Data:

NPI Number: 1174521702
Provider Enumeration Date: 07/08/2005
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0042450793
Enrollment ID: I20220524001044

Medical Identifiers

Medical identifiers for Mrs Charlotte Jane Stark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174521702	NPI	-	NPPES
84-1090521008	Other		ROCKY MTN HEALTH PLANS
500027209	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	80977 (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	219426 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Fort Smith	Fort smith, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Fort Smith Communities	3870668510	283

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. Mrs Charlotte Jane Stark allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Fort Smith Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789

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. Mrs Charlotte Jane 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 Address	Practice Location Address
Mrs Charlotte Jane Stark, FNP 2800 Fayetteville Rd, Van Buren, AR 72956-6523 Ph: (479) 314-4000	Mrs Charlotte Jane Stark, FNP 2800 Fayetteville Rd, Van Buren, AR 72956-6523 Ph: (479) 314-4000

Reviews and Comments

Nurse Practitioner Nurses in Van Buren, AR

Jacee Mae Banning, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 Chestnut St Ste B, Van Buren, AR 72956 Phone: 479-262-2724 Fax: 479-262-2727
Monique Thammavong, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Pointer Trl W Ste A, Van Buren, AR 72956 Phone: 479-474-1100 Fax: 479-471-1335
Mrs. Stephanie Ann Davis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Broadway St, Van Buren, AR 72956 Phone: 479-474-5061
Mrs. Jillian Tylar Swain, DNP-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1902 Fayetteville Rd, Van Buren, AR 72956 Phone: 479-298-5047
Stefanie A Ellis, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Fayetteville Rd, Van Buren, AR 72956 Phone: 479-314-4000 Fax: 479-314-4050
Melissa Stacey Romero, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1404 N 28th St, Van Buren, AR 72956 Phone: 479-474-8021

Mrs Charlotte Jane Stark, FNP - Medicare Nurse Practitioner in Van Buren, AR