Mary Jean Stark, PAC
NPI 1851352884ActiveIndividual· Physician Assistant· Annville, PA
Physician Assistant (PAC) with Wellspan Medical Group, practicing in Annville, Pennsylvania. Mostly services rather than prescriptions: Medicare paid $1,757 for 14 patients in 2024, with only 17 Part D claims. Lists Wellspan Good Samaritan Hospital as a hospital affiliation.
Overview
| NPI | 1851352884 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Mar 29, 2006 |
| Last updated in NPPES | Jul 8, 2026 |
| Certified by provider | Jul 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | MA003135L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 30 across 16 procedure codes |
| Paid by Medicare | $1,757 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 17 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $140.43 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Wellspan Medical GroupEphrata, PA · 2,480 clinicians
Hospital affiliation
- Wellspan Good Samaritan HospitalLebanon, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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