Jody A. Stark is a Ontario, Oregon based nurse practitioner with 31 years of experience in Psych/Mental Health. She completed her graduation in 1994. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jody A. Stark is 079043254N1 for Family in Oregon. Her current practice location is 932 W Idaho Ave, Suite 100, Ontario. Patients can reach her at 541-889-2244 or can fax her at 541-889-2626. Jody A. Stark is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1851472989. Jody A. Stark provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Jody A. Stark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Jody A. Stark
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
NP
Experience:
31+ years
Medical School Attended:
Other
Graduation Year:
1994
Accepts Medicare Assignment:
Yes
Practice Address:
932 W Idaho Ave, Suite 100, Ontario, Oregon, 97914-2155
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0244123743
Enrollment ID:
I20040206000952
NPI Number:
1851472989
NPI Enumeration Date:
17 Oct, 2006
NPI Last Update On:
19 Oct, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jody A. Stark are as mentioned below.
License Number
Specialization
State
Status
079043254N1
Family
Oregon
Primary
200550081NP
Psych/Mental Health
Oregon
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(380052)
Ontario, OR
Acute Care Hospital
(130006)
Boise, ID
Acute Care Hospital
(130071)
Nampa, ID
Acute Care Hospital
(130007)
Boise, ID
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jody A. Stark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Stark Medical Group Pc (4284873886)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Jody A. Stark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500656154
Medicaid
Oregon
500614019
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jody A. Stark Po Box J, Ontario, Oregon
Zip:
97914-0020
Phone Number:
541-889-2244
Fax Number:
541-889-2626
Patients can reach Jody A. Stark at 932 W Idaho Ave, Suite 100, Ontario, Oregon or can call to book an appointment on 541-889-2244.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.