Mrs Shana S Stark, NP - Medicare Nurse Practitioner in Brookings, OR

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Mrs Shana S Stark, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Brookings, Oregon. Her current practice location is 500 5th St, Brookings, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 412-2000.

Mrs Shana S Stark is licensed to practice in Nebraska (license number 111628) 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 1124443676.

Contact Information

Mrs Shana S Stark, NP
500 5th St,
Brookings, OR 97415-9702
(541) 412-2000
(541) 412-2081

Map and Direction




Provider's Profile

Full NameMrs Shana S Stark
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location500 5th St, Brookings, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124443676
  • Provider Enumeration Date: 02/20/2014
  • Last Update Date: 09/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476785981
  • Enrollment ID: I20140416001228

Medical Identifiers

Medical identifiers for Mrs Shana S Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124443676NPI-NPPES
500684342MedicaidOR
1487696985OtherORCURRY HEALTH DISTRICT NPI
930937095OtherORCURRY HEALTH DISTRICT TAX ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201501818NP-PP (Oregon)Secondary
363LP2300XNurse Practitioner - Primary Care 111628 (Nebraska)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. Mrs Shana S Stark allows following entities to bill medicare on her behalf.
Entity NameNebraska House Call Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811931637
PECOS PAC ID: 7517911555
Enrollment ID: O20050311000508

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 Shana S 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
Mrs Shana S Stark, NP
Po Box 67250,
Lincoln, NE 68506-7250

Ph: (402) 328-8833		Mrs Shana S Stark, NP
500 5th St,
Brookings, OR 97415-9702

Ph: (541) 412-2000

Reviews and Comments


Nurse Practitioner Nurses in Brookings, OR

Susan F, Pascual, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 615 5th St, Brookings, OR 97415
Phone: 541-671-0622    
Ms. Carol Oliver, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 413 Mill Beach Rd, Brookings, OR 97415
Phone: 541-412-8700    Fax: 707-465-6166
Mrs. Tonya Shantel Escobar, PMHNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 15861 Highway 101 S, Brookings, OR 97415
Phone: 541-254-1485    
Ms. Kelly M Clayton, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 446 Oak St, Brookings, OR 97415
Phone: 541-469-7401    Fax: 541-469-7083
Jennifer M. Boyle, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 585 5th St, Brookings, OR 97415
Phone: 541-469-5377    Fax: 541-469-8015
Jackie B Michael-havens, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 500 5th St, Brookings, OR 97415
Phone: 541-412-2000    Fax: 541-412-2081

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.