Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stacy L Roark

Nurse Practitioner โ€ข Fort Wayne, IN

Active NPI 1417495078 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

11109 Parkview Plaza Dr
Fort Wayne, IN 468451701

Call 2606726620 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11109 Parkview Plaza Dr

Fort Wayne, IN 468451701

Telephone 2606726620
Fax 2606726639
Organization at the Same NPPES Address or Phone
Allied Hospital Pathologists, P.c. Facility NPI 1831175389

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Parkview Health System Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Medicare patients

149 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $17,312 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $13,568 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Open Payments general payments, program year 2023

All general payments: $34.13 across 2 records.

By nature of payment

  • Food and Beverage: $34.13 across 2 records.

Reporting-company totals

  • Janssen Pharmaceuticals, Inc: $17.62 across 1 record.
  • UCB, Inc.: $16.51 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Stacy Roark has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Stacy Roark as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fort Wayne and Indiana

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Nurse Practitioner in Fort Wayne, IN (2024, 343 clinicians with data). Median for this group: 190. Middle half: 99 to 379.

Fewer Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Indiana (2024, 1,361 clinicians with data). Median for this group: 254. Middle half: 110 to 607.

Medicare-allowed amount

Close to the middle for clinicians listed under Nurse Practitioner in Fort Wayne, IN (2024, 343 clinicians with data). Median for this group: $15,134. Middle half: $7,373 to $25,892.

Close to the middle for clinicians listed under Nurse Practitioner in Indiana (2024, 1,361 clinicians with data). Median for this group: $19,046. Middle half: $7,791 to $39,579.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Nurse Practitioner in Fort Wayne, IN (2024, 343 clinicians with data). Median for this group: $10,944. Middle half: $5,370 to $19,644.

Close to the middle for clinicians listed under Nurse Practitioner in Indiana (2024, 1,361 clinicians with data). Median for this group: $13,725. Middle half: $5,577 to $28,763.

532 active clinicians are listed under Nurse Practitioner with a practice address in Fort Wayne, IN (2,597 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Wayne

22.6% of these 532 clinicians have the CMS telehealth indicator.

71.6% of these 532 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2023
Disclosure Year:

Program year 2023 (payments made January 1 โ€“ December 31, 2023): fewer than 11 records totaling $34.13.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
XARELTO General $17.62
UCB, Inc.
Food and Beverage
In-kind items and services
Briviact General $16.51

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
79 78 $257.00 $102.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
68 68 $379.00 $135.50

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IN 71007073A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20170518000590

Enrollment State Jurisdiction

IN

PECOS Control ID

6002183209

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Parkview Health System Inc

11109 Parkview Plaza Dr, Fort Wayne, IN 468451701

Phone: 2602662020

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Anamol Acharya , MD

Internal Medicine

NPI 1629681499

Doctor of Medicine (M.D.)

Abid Ahmad

Internal Medicine

NPI 1740800184
Dr. Hasan Ahmad , DO, MBA

Internal Medicine

NPI 1053739995

Doctor of Osteopathic Medicine (D.O.), Master of Business Administration

Dr. Zubair Almani , MD

Internal Medicine

NPI 1750919908

Doctor of Medicine (M.D.)

Dr. Terence Anguh , MD

Internal Medicine

NPI 1083033310

Doctor of Medicine (M.D.)

Karmapath Aryal

Internal Medicine

NPI 1295142404

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐Ÿ“
Updated Business Mailing Address June 29, 2022

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2022

Nurse Practitioner (license number reported to NPPES: IN 71007073A)

๐Ÿ“
Updated Business Mailing Address April 02, 2018

Registered at 3702 NEW VISION DR BLDG B, FORT WAYNE, IN 468451703 (Tel: 2602666013)

๐Ÿ‘ค
Provider Name / Credentials Updated April 02, 2018

Recorded as STACY ROARK

โœ…
NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Business Mailing Address May 11, 2017

Registered at 3926 NEW VISION DR, BLDG H, FORT WAYNE, IN 468451712 (Tel: 2602661401)

๐Ÿ“
Updated Practice Location May 11, 2017

Registered at 11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 468451701 (Tel: 2602662770)

๐Ÿ‘ค
Provider Name / Credentials Updated May 11, 2017

Recorded as STACY BEBER

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Registered Nurse (license number reported to NPPES: IN 28190708A)

โœ…
NPI Profile Active February 03, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 03, 2017

Registered at 11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 468451701 (Tel: 2602662770)

๐Ÿ“
Business Mailing Address (Initial Record) February 03, 2017

Registered at 11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 468451701 (Tel: 2602662770)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 03, 2017

Recorded as STACY BEBER

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2017

Registered Nurse (license number reported to NPPES: IN 28190708A)

๐ŸŸข
Initial NPI Registration & Enumeration February 03, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1417495078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2017
Last Update: October 10, 2022
Sole Proprietor: No

Other Nurse Practitioners in Fort Wayne

All Nurse Practitioners in Fort Wayne

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.