| Susan Elizabeth Stark, | |
|
5211 Highway 110, Essentia Heatlh Northern Pines Clinic, Aurora, MN 55705-1522 | |
| (218) 229-3311 | |
| Not Available |
| Full Name | Susan Elizabeth Stark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 5211 Highway 110, Aurora, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598105694 | NPI | - | NPPES |
| 1598105694 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R153102-8 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spectrum Community Health Inc | Inver grove heights, MN | Home health agency |
| Essentia Health Northern Pines Medical Center | Aurora, MN | Hospital |
| Essentia Health Virginia | Virginia, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Pines Medical Center | 3870565641 | 25 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | St Marys Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457393035 PECOS PAC ID: 6901706357 Enrollment ID: O20040112000118 |
| Entity Name | Northern Pines Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Elizabeth Stark, 5211 Highway 110, Essentia Health Northern Pines Clinic, Aurora, MN 55705-1522 Ph: (218) 229-3311 | Susan Elizabeth Stark, 5211 Highway 110, Essentia Heatlh Northern Pines Clinic, Aurora, MN 55705-1522 Ph: (218) 229-3311 |
Mr. David Michael Rokser, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5211 Highway 110, Aurora, MN 55705 Phone: 218-229-3311 | |
Ann Marie Westbrook Vreeland, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 W 3rd Ave N, Aurora, MN 55705 Phone: 218-229-3311 |