Individual provider Active NPI

Robin M Stark, MSN, APRN, FNP

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1841845799
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344430-1 Issued in NY
Practice address
1000 E Genesee St Ste 402
Syracuse, NY 13210-1853
Phone
(315) 464-2929
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344430-1 NY Primary

Addresses

Primary practice location

1000 E Genesee St Ste 402
Syracuse, NY 13210-1853

Mailing address

1000 E Genesee St Ste 403
Syracuse, NY 13210-1840
Phone (315) 464-2929

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address starkro@upstate.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191209001786 NY Practitioner - Nurse Practitioner 4284067042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 E Genesee St
Suite 403
Syracuse, NY 13210-1840
Phone (315) 464-2929

Hospital & facility affiliations

  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Merit-based Incentive Payment System (MIPS)

Final score
87.56 of 100Reported as group
Quality
71.97
Promoting interoperability
100
Improvement activities
40
Cost
75.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F344430-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Oct 13, 2019 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Oct 13, 2019 Accepting new patients

Locations

1000 E Genesee St
Ste 403
Syracuse, NY 13210
Phone (315) 464-2929

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

1000 E Genesee St
Ste 402
Syracuse, NY 13210
Phone (315) 434-8804

Interoperability endpoints

  • Direct secure messaging: rstark14944@direct.upstate.edu

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1841845799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST STE 403",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101840",
            "telephone_number": "315-464-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST STE 402",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101853",
            "telephone_number": "315-464-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "ROBIN",
        "middle_name": "M",
        "credential": "MSN, APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344430-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "starkro@upstate.edu",
            "affiliation": "N",
            "endpointDescription": "email for direct messaging",
            "address_1": "1000 E Genesee St Ste 402",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132101853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.