Doctor profile · Federal record

Dr. Stacy Roark

Nurse Practitioner · Fort Wayne, IN

  • NPI 1417495078
  • Accepts Medicare
  • MIPS 81.2 / 100 · 2023
  • 10 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
11109 Parkview Plaza Dr
Fort Wayne, IN 468451701
(260) 672-6620
fax (260) 672-6639
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 468451701

Credentials & registration

NPPES · NUCC
NPI registered
February 2017 — 9 yrs on file
Profile last updated
October 10, 2022
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
363L00000X — NUCC code
State license (1)
Indiana #71007073A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417495078. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
115
Distinct HCPCS
2
Medicare allowed
$12,736
HCPCS Description Services Patients Avg allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 96 94 $105
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 19 19 $140

In context: peer comparison

Among 168 peers in this city , average services per provider: 93. This provider delivers 1.2× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Stacy Roark's medical specialty?
Dr. Stacy Roark practices Nurse Practitioner in Fort Wayne, IN.
Where does Dr. Stacy Roark practice?
Dr. Stacy Roark practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 468451701. Office phone: 2606726620.
What is Dr. Stacy Roark's NPI?
Dr. Stacy Roark's National Provider Identifier (NPI) is 1417495078, issued by NPPES.
Does Dr. Stacy Roark accept Medicare assignment?
Yes. Dr. Stacy Roark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stacy Roark commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.