Individual provider Active NPI

Jessica Stark, ARNP

  • Obstetrics & Gynecology Physician
  • Spring Hill, FL
National Provider Identifier
1780104398
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ARNP9257896 Issued in FL
Practice address
224 Mariner Blvd
Spring Hill, FL 34609-5691
Phone
(352) 686-9779
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ARNP9257896 FL Primary

Addresses

Primary practice location

224 Mariner Blvd
Spring Hill, FL 34609-5691

Mailing address

7460 Landmark Dr
Spring Hill, FL 34606-6359
Phone (352) 293-4769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171213001237 FL Practitioner - Nurse Practitioner 8123386570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Specialty Group IncGroup PAC ID 8022331255, 14 clinicians

Practice addresses (Care Compare)

221 Mariner Blvd
Spring Hill, FL 34609-5692
Phone (352) 666-0544

Merit-based Incentive Payment System (MIPS)

Final score
90.82 of 100Reported as group
Quality
86.91
Promoting interoperability
99
Improvement activities
40
Cost
74.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9257896FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Specialty Group, Inc CurrentSince Oct 23, 2017 Accepting new patients
Babies and Beyond Pediatrics PA PastSince Dec 14, 2025 Accepting new patients

Locations

403 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-3646

800 Medical Ct E
Inverness, FL 34452
Phone (352) 726-7667

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

221 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 666-0544

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jessica.stark@hca4.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1780104398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7460 LANDMARK DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346066359",
            "telephone_number": "352-293-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095691",
            "telephone_number": "352-686-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "JESSICA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP9257896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.