Jerry Stark, RN

ActiveIndividual ProviderSpecialty not listed
NPI issued: August 14, 2012

Quick Facts

NPI Number
1447507066
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy163WE0003X — Specialty not listed
Phone
(901) 337-7778
StateMS

NPI Validation Status: Verified

Valid 10-digit NPI number (1447507066)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 14, 2012)
Data source: CMS NPPES

Provider Overview

JERRY STARK, RN is a Healthcare provider based in Southaven, MS who has been registered with CMS since 2012. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1447507066
Provider TypeIndividual Provider
GenderMale
CredentialRN
StatusActive
Enumeration DateAugust 14, 2012

Practice Location

CitySouthaven
StateMS
ZIP Code38671-4336
Phone(901) 337-7778

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code163WE0003X
License StateMS

Mailing Address

CitySouthaven
StateMS
ZIP Code38671-4336
Phone(901) 337-7778
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1447507066 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1447507066for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1447507066 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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4,597
Specialty not listed Providers in the US

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No similar providers found in Southaven.

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People Also Ask

What is Jerry Stark's NPI number?
Jerry Stark's NPI number is 1447507066, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jerry Stark's NPI currently active?
Yes, Jerry Stark's NPI status is Active as of the latest CMS NPPES database updates.
What does Jerry Stark specialize in?
Jerry Stark specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 163WE0003X.
Where does Jerry Stark practice?
Jerry Stark practices in Southaven, MS 38671-4336.
When was Jerry Stark's NPI issued?
Jerry Stark's NPI was issued on August 14, 2012.
What is Jerry Stark's provider type?
Jerry Stark is registered as an Individual Provider under CMS NPI Type 1.