IndividualActive
Marissa Stark
NPI 1174068068 · Registered Nurse · Gallup, NM
Marissa Stark is a Registered Nurse provider in Gallup, NM (NPI 1174068068).
Provider details
- NPI number
- 1174068068
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 81165 (NM)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Street-level locationGet directions
Mailing address
Po Box 1337
Gallup, NM 87305-1337
Registry dates
- Enumerated
- 2016-12-30
- Last updated
- 2016-12-30
Frequently asked questions
- What is Marissa Stark's NPI number?
- Marissa Stark's National Provider Identifier (NPI) is 1174068068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Stark's specialty?
- Marissa Stark is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Marissa Stark located?
- Marissa Stark's practice location on file with NPPES is 516 E Nizhoni Blvd, Gallup, NM 87301-5748.
- What is Marissa Stark's phone number?
- The practice phone number listed in the NPPES registry for Marissa Stark is (505) 722-1000.
- Is Marissa Stark's NPI active?
- Yes — Marissa Stark's NPI (1174068068) is active in the NPPES registry as of the last update on 2016-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.