Jacqueline Stark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Anaheim, CA

  1. Home
  2. Nurse Anesthetist - CR
  3. CA
  4. Anaheim
Jacqueline Stark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Anaheim, California. She graduated from nursing school in 1995 and has 31 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Allied Anesthesia Medical Group Inc and her current practice location is 3350 W Ball Rd, Anesthesia Department, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 827-6700.

Jacqueline Stark is licensed to practice in California (license number 3393) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396742284.

Contact Information

Jacqueline Stark, CRNA
3350 W Ball Rd, Anesthesia Department,
Anaheim, CA 92804-3710
(714) 827-6700
Not Available

Map and Direction




Provider's Profile

Full NameJacqueline Stark
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience31 Years
Location3350 W Ball Rd, Anaheim, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Stark graduated from nursing school in 1995
  NPI Data:
  • NPI Number: 1396742284
  • Provider Enumeration Date: 07/07/2005
  • Last Update Date: 07/15/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9537125257
  • Enrollment ID: I20090128000193

Medical Identifiers

Medical identifiers for Jacqueline Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396742284NPI-NPPES
000831101MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3393 (California)Primary
174400000XSpecialist R148323 (Maryland)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allied Anesthesia Medical Group Inc6103728407185

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Stark allows following entities to bill medicare on her behalf.
Entity NameCounty of Los Angeles
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851363188
PECOS PAC ID: 1850296534
Enrollment ID: O20031204001218
Entity NameAllied Anesthesia Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346267267
PECOS PAC ID: 6103728407
Enrollment ID: O20040126001001
Entity NameUniversal Pain Management Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427046655
PECOS PAC ID: 1759369572
Enrollment ID: O20040708001475
Entity NameMetro Nursing Anesthesia Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093970436
PECOS PAC ID: 6800082660
Enrollment ID: O20101119000410
Entity NameLgibson Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417473323
PECOS PAC ID: 3476827288
Enrollment ID: O20170918001886
Entity NameNorya Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023583184
PECOS PAC ID: 6507110053
Enrollment ID: O20181119003260
Entity NameHorieh Anesthesia Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346953007
PECOS PAC ID: 8022489210
Enrollment ID: O20230126001068

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Stark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Stark, CRNA
210 N Tustin Ave,
Santa Ana, CA 92705-3807

Ph: (714) 347-1010		Jacqueline Stark, CRNA
3350 W Ball Rd, Anesthesia Department,
Anaheim, CA 92804-3710

Ph: (714) 827-6700

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Anaheim, CA

Haley Martin,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806
Phone: 317-644-9054    
Laura Koh,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806
Phone: 714-644-2000    
Teresa Huang, RN, MSN, FNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806
Phone: 714-644-2000    
Carol J Wesner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Carol A Dilibero, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 714-279-4487    
Edward H Marthaler, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Susan M Heravi, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.