Stark Medical Group PC
NPI 1063754208 · Family Nurse Practitioner · Ontario, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stark Medical Group PC is a Family Nurse Practitioner organization in Ontario, OR (NPI 1063754208).
Provider details
- NPI number
- 1063754208
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brenda Stark, Office Manager(541) 889-2244
- License
- 200550081NP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-03-26
- Last updated
- 2022-10-19
- Certified
- 2022-10-19
Frequently asked questions
- What is Stark Medical Group PC's NPI number?
- Stark Medical Group PC's National Provider Identifier (NPI) is 1063754208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stark Medical Group PC?
- Stark Medical Group PC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stark Medical Group PC located?
- Stark Medical Group PC's practice location on file with NPPES is 932 W Idaho Ave Ste 100, Ontario, OR 97914-2155.
- What is Stark Medical Group PC's phone number?
- The practice phone number listed in the NPPES registry for Stark Medical Group PC is (541) 889-2244.
- Does Stark Medical Group PC accept Medicare?
- Stark Medical Group PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Stark Medical Group PC?
- The authorized official listed on Stark Medical Group PC's NPPES record is Brenda Stark, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stark Medical Group PC's NPI active?
- Yes — Stark Medical Group PC's NPI (1063754208) is active in the NPPES registry as of the last update on 2022-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.