Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124090048 Individual Practitioner Male Practitioner

Robert O Stark , NP

Nurse Practitioner • Longmont, CO

Professional Overview & Biography Verified Profile Summary

Robert Stark, NP is a registered healthcare professional specializing in Nurse Practitioner in Longmont, CO. Practice services are available at 1925 W MOUNTAIN VIEW AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1925 W Mountain View Ave

Longmont, CO 805013128

Telephone 3037761234
Fax 7204943107
Associated Practice Facility / Clinic
🏢 Longmont Clinic Pc Facility NPI 1043269772

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Longmont, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.3 Yrs
State Avg: 11.3 Yrs
Regional Practice Density
24 Specialists

Practicing in Longmont, CO (1283 Statewide)

Telehealth Adoption Rate
33.3% 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CO 129114

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
129114 (CO)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Lyle Pfeifer , MD

Family Medicine

NPI 1003813270

Doctor of Medicine (M.D.)

NPI 1023114915

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Backup , MD

Internal Medicine - Interventional Cardiology

NPI 1053315473

Doctor of Medicine (M.D.)

NPI 1063600096

Doctor of Medicine (M.D.)

Dr. Hamza Khalid , MD

Internal Medicine - Gastroenterology

NPI 1063667608

Doctor of Medicine (M.D.)

NPI 1073788915

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 805013128 (Tel: 3037761234)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 805013128 (Tel: 3037761234)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT STARK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #129114 in CO)

🟢
Initial NPI Registration & Enumeration February 03, 2006

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: 1124090048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1925 W Mountain View Ave

Longmont, CO 805013128

Phone: 3037761234

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.