Madison Starnes, APRN, FNP-BC
NPI 1093461055 · Family Nurse Practitioner · Kingsport, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madison Starnes, APRN, FNP-BC is a Family Nurse Practitioner provider in Kingsport, TN (NPI 1093461055).
Provider details
- NPI number
- 1093461055
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 30464 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
10 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
33 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 33 | $28 |
Typical Medicare-allowed amounts for these services range $28–$28 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Gentamicin Sulfate | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$308 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (9)
- 2686 W State StBristol, TN 37620-1817Phone: (423) 844-0026
- 1497 W Elk Ave Ste 11Elizabethton, TN 37643-2896Phone: (423) 542-8929
- 410 N State of Franklin Rd Ste 140Johnson City, TN 37604-6972Phone: (423) 431-2460
- 410 N State of Franklin Rd Ste 140bJohnson City, TN 37604-6971Phone: (423) 431-2460
- 161 Heart Dr Ste aJohnson City, TN 37604-2607Phone: (423) 282-0751
- 4600 Fort Henry DrKingsport, TN 37663-2617Phone: (423) 224-3950
- 111 W Stone Dr Ste 110Kingsport, TN 37660-6027Phone: (423) 224-3701
- 130 W Ravine RdKingsport, TN 37660-3837Phone: (423) 224-4000
- 130 W Ravine Rd Ste 3aKingsport, TN 37660-3841Phone: (423) 245-6101
Registry dates
- Enumerated
- 2022-02-28
- Last updated
- 2024-10-21
- Certified
- 2024-10-21
Frequently asked questions
- What is Madison Starnes's NPI number?
- Madison Starnes's National Provider Identifier (NPI) is 1093461055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison Starnes's specialty?
- Madison Starnes is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Madison Starnes located?
- Madison Starnes's practice location on file with NPPES is 444 Clinchfield St Ste 2900, Kingsport, TN 37660-3828.
- What is Madison Starnes's phone number?
- The practice phone number listed in the NPPES registry for Madison Starnes is (423) 245-6101.
- Does Madison Starnes accept Medicare?
- Madison Starnes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madison Starnes's NPI active?
- Yes — Madison Starnes's NPI (1093461055) is active in the NPPES registry as of the last update on 2024-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.