HOLLY HALL STARNES F.N.P.-C.
NPI 1104099761
Nurse Practitioner - Family in Raleigh, NC

Active since April 03, 2008PECOS Enrolled
87.2/100
CMS Quality Rating
1540 SUNDAY DR, RALEIGH, NC 27607(919) 782-3456 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Hall Starnes F.n.p.-c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY HALL STARNES F.N.P.-C. (NPI 1104099761) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5003914) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1104099761
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY HALL STARNESCredential: F.N.P.-C.
Location Address1540 SUNDAY DRRaleigh, NC 27607-6000
Mailing Address1540 Sunday DrRaleigh, NC 27607-6000 · (919) 782-3456
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 3, 2008
Last NPPES UpdateApril 2, 2021
NPPES CertifiedApril 2, 2021
NPI 1104099761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5003914
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5003914 (NC)
1540 SUNDAY DR, Raleigh, NC 27607

Other Names 1

Former Name (1)Holly Ann Hall F.n.p.-c.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Holly Hall Starnes F.n.p.-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466501929
PECOS Enrollment IDI20090513000201
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
327 services260 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services138 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services16 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.93
Promoting Interoperability100
Improvement Activities40
Cost93.42

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Physician Assistant
1540 SUNDAY DR
RALEIGH, NC 27607
Physical Therapist
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Physical Therapist
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Psychiatry & Neurology (Neurology)
1540 SUNDAY DR
RALEIGH, NC 27607
Physician Assistant
1540 SUNDAY DR
RALEIGH, NC 27607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Starnes's NPI number?

The NPI number for Holly Starnes is 1104099761. It was assigned to this individual provider in the NPPES registry on April 3, 2008. The provider is also known as Holly Ann Hall F.N.P.-C..

Where is Holly Starnes located?

Holly Starnes practices at 1540 Sunday Dr, Raleigh, NC 27607. The listed phone number is (919) 782-3456.

What is Holly Starnes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Holly Starnes enrolled in Medicare?

Yes. Holly Starnes is registered in the Medicare PECOS enrollment system.

What insurance does Holly Starnes accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Holly Starnes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Holly Starnes affiliated with any hospitals?

According to CMS data, Holly Starnes is affiliated with Rex Hospital and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Holly Starnes was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.