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Deactivated NPI 1376813675 Deactivated / Inactive NPI Female Practitioner

Jill Ann Stark

Case Manager/Care Coordinator • Fairbanks, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jill Stark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 04, 2012
NPI Deactivation Date May 08, 2021
Total Practice Duration ~9 Years of Practice (2012 – 2021)

Professional Overview & Biography Verified Profile Summary

Jill Stark was a registered Case Manager/Care Coordinator practicing in Fairbanks, AK. Throughout an active medical career spanning 9 years, Jill Stark provided care at the practice location at 2785 COLLEGE RD until profile deactivation on 2021-05-08.

Practice Location & Contact Primary Location

Practice Address

2785 College Rd

Fairbanks, AK 997093751

Telephone 9073741844
Fax 9073741877
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Fairbanks, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
167 Specialists

Practicing in Fairbanks, AK (1814 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Robbi Cline

Case Manager/Care Coordinator

NPI 1457904997
Cheryl Williams , BA

Case Manager/Care Coordinator

NPI 1487923975

Bachelor of Arts

Ron Foster

Case Manager/Care Coordinator

NPI 1508136789
Cassia Calhoun

Case Manager/Care Coordinator

NPI 1508410481
David Boyens

Case Manager/Care Coordinator

NPI 1629348651
Kevin Ray

Counselor - Mental Health

NPI 1801104203

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 08, 2021

Record deactivated on May 08, 2021

NPI Profile Active January 04, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 04, 2012

Registered at 2785 COLLEGE RD, FAIRBANKS, AK 997093751 (Tel: 9073741844)

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Updated Business Mailing Address January 04, 2012

Registered at 1825 MARIKA RD, FAIRBANKS, AK 997095521 (Tel: 9074740890)

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Provider Name / Credentials Updated January 04, 2012

Recorded as JILL STARK

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2012

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration January 04, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376813675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2012
Last Update: January 04, 2012
Deactivation Date: May 08, 2021

Mailing Address

1825 Marika Rd

Fairbanks, AK 997095521

Phone: 9074740890

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.