Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922510205 Individual Practitioner Female Practitioner

Lacy R Stark , PA

Nurse Practitioner • Fort Worth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lacy Stark, PA is a certified Nurse Practitioner practicing in Fort Worth, TX. With approximately 9 years of clinical experience since completing medical education in 2017, Lacy Stark delivers high-quality medical care to the local community at 1307 8TH AVE.

Lacy Stark maintains professional affiliations with Green Oaks Physical Therapy Limited Partnership, Clinical Neuroscience Pa and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1307 8th Ave
Suite 608

Fort Worth, TX 761044140

Telephone 8179214191
Fax 8174297783
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Worth, TX

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs +0.4 yrs vs City Avg
City Avg: 8.6 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
155 Specialists

Practicing in Fort Worth, TX (4894 Statewide)

Telehealth Adoption Rate
16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stark (9 Years) 9 Yrs
Fort Worth Specialty Average (8.6 Years) 8.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-04-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP135511

(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.

Hospital & Practice Group Affiliations

Clinical Neuroscience Pa

1307 8th Ave, Fort Worth, TX 761044109

Phone: 8179214191

Green Oaks Physical Therapy Limited Partnership

350 Mercedes St, Benbrook, TX 761262593

Phone: 8177175390

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Thomas Leavens , MD

Psychiatry & Neurology - Neurology

NPI 1114910460

Doctor of Medicine (M.D.)

Dr. William Gulledge , MD

Psychiatry & Neurology - Neurology

NPI 1164418364

Doctor of Medicine (M.D.)

Dr. Charlece Hughes , DO

Psychiatry & Neurology - Neurology

NPI 1326039215

Doctor of Osteopathic Medicine (D.O.)

Dr. Victoria Nwosu , MD

Psychiatry & Neurology - Neurology

NPI 1558449603

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 Practice Location April 29, 2024

Registered at 1307 8TH AVE, SUITE 608, FORT WORTH, TX 761044140 (Tel: 8179214191)

📍
Updated Business Mailing Address April 29, 2024

Registered at 1307 8TH AVE, SUITE 608, FORT WORTH, TX 761044140 (Tel: 8179214191)

👤
Provider Name / Credentials Updated April 29, 2024

Recorded as LACY STARK, PA

📍
Updated Practice Location April 28, 2021

Registered at 1307 8TH AVE STE 408, FORT WORTH, TX 761044143 (Tel: 8179214191)

NPI Profile Active October 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2017

Registered at 713 GRAINGER ST, FORT WORTH, TX 761043261 (Tel: 8173363968)

📍
Updated Business Mailing Address October 26, 2017

Registered at 713 GRAINGER ST, FORT WORTH, TX 761043261 (Tel: 8173363968)

👤
Provider Name / Credentials Updated October 26, 2017

Recorded as LACY STARK, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2017

Nurse Practitioner (License #AP135511 in TX)

🟢
Initial NPI Registration & Enumeration October 26, 2017

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: 1922510205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2017
Last Update: April 29, 2024
Sole Proprietor: No

Mailing Address

1307 8th Ave, Suite 608

Fort Worth, TX 761044140

Phone: 8179214191

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.