Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194727644 Individual Practitioner Female Practitioner

Andrea Chance Stark , ARNP

Nurse Practitioner - Pediatrics • Loxahatchee, FL

Professional Overview & Biography Verified Profile Summary

Andrea Stark, ARNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Loxahatchee, FL. Practice services are available at 13475 SOUTHERN BLVD STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13475 Southern Blvd Ste 202

Loxahatchee, FL 334709234

Telephone 5615095009
Fax 5617982733
Associated Practice Facility / Clinic
🏢 Palm Beach Pediatrics, Llc Facility NPI 1346209244

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Loxahatchee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
6 Specialists

Practicing in Loxahatchee, FL (1565 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

CMS Verified: 2025-09-23
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License FL APRN2587202

Definition to come...

Pediatrics

NUCC Taxonomy Code: 208000000X

State License FL ARNP 2587202

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
304660500 (FL)

Practice Associates & Co-Workers

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

30 Associated Practitioners
NPI 1053313510

Doctor of Medicine (M.D.)

Nicole Dinovitser , ARNP

Clinical Nurse Specialist - Pediatrics

NPI 1053699231

Advanced Registered Nurse Practitioner

NPI 1073515532

Advanced Registered Nurse Practitioner

NPI 1073838611

Doctor of Osteopathic Medicine (D.O.)

Parissa Vizza , MSN, RN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1083171144

Master of Science in Nursing, Registered Nurse, CPNPPC

NPI 1093020661

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address September 23, 2025

Registered at 2000 PALM BEACH LAKES BLVD STE 901, WEST PALM BEACH, FL 334096506 (Tel: 5615095009)

📍
Updated Practice Location June 12, 2025

Registered at 13475 SOUTHERN BLVD STE 202, LOXAHATCHEE, FL 334709234 (Tel: 5615095009)

📍
Updated Practice Location August 17, 2020

Registered at 12955 PALMS WEST DR STE 100, LOXAHATCHEE, FL 334709212 (Tel: 5615095009)

📍
Updated Business Mailing Address August 17, 2020

Registered at 1920 PALM BEACH LAKES BLVD STE 201, WEST PALM BEACH, FL 334093506 (Tel: 5615095009)

NPI Profile Active September 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2012

Registered at 8200 S JOG RD STE 101, PALM BEACH PEDIATRICS, PA, BOYNTON BEACH, FL 334722981 (Tel: 5615095009)

📍
Updated Business Mailing Address September 10, 2012

Registered at 8200 S JOG RD STE 203, PALM BEACH PEDIATRICS, PA, BOYNTON BEACH, FL 334722981 (Tel: 5613274960)

👤
Provider Name / Credentials Updated September 10, 2012

Recorded as ANDREA STARK, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2012

Pediatrics (License #ARNP 2587202 in FL)

🟢
Initial NPI Registration & Enumeration August 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194727644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2005
Last Update: September 23, 2025
Sole Proprietor: No

Mailing Address

2000 Palm Beach Lakes Blvd Ste 901

West Palm Beach, FL 334096506

Phone: 5615095009

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.