ASHLEY WALLER STARNES FNP
NPI 1346768165
Nurse Practitioner - Family in Gastonia, NC

Q: What is Ashley Starnes's NPI number?

The NPI number for Ashley Starnes is 1346768165. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Q: What is Ashley Starnes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ashley Starnes was last updated on May 27, 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.

Active since August 31, 2017PECOS EnrolledAccepts Medicare Assignment

98.3/100

CMS Quality Rating

631 COX RD, GASTONIA, NC 28054(048) 647-7647(704) 867-7894 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2021, Oct 9, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Ashley Waller Starnes Fnp NPPES

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

ASHLEY WALLER STARNES FNP (NPI 1346768165) is an individual family provider in Gastonia, North Carolina, licensed in North Carolina (233075) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains a secondary practice location in Shelby.

NPPES Registry Identity

NPI1346768165

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHLEY WALLER STARNESCredential: FNP

Location Address631 COX RDGastonia, NC 28054-3438

Mailing Address808 Schenck StShelby, NC 28150-3934 · (704) 480-9344 · Fax (704) 484-3260

Phone(048) 647-7647

Fax(704) 867-7894

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 31, 2017

Last NPPES UpdateMay 27, 20215 updates tracked since enumeration

NPPES CertifiedMay 27, 2021

✔ NPI 1346768165 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 · 233075

Also ListedNurse PractitionerTaxonomy 363L00000X · License 5009841 (NC)

631 COX RD, Gastonia, NC 28054

Open in Google Maps ↗

Secondary Practice Location 1

Location 1808 Schenck StShelby, NC 28150-3934 · Phone (704) 419-8973

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Waller Starnes Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103183793

PECOS Enrollment IDI20171207000795

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.

Medicare Billing Reassignment

Medicare enrollment records show Ashley Starnes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolina Urology Partners PLLC

18 mi

Urology

9735 KINCEY AVE, STE 201
Huntersville, NC 28078

Reassigned Medicare billing, North Carolina enrollment
42 clinicians in this Medicare group

NPI 1013210004 (704) 414-2870

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

704 services459 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.

661 services444 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

497 services355 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

257 services194 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

174 services137 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

64 services62 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

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.

27 services27 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

21 services12 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

21 services20 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.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340021

Location201 E Grover StShelby, NC 28150 · Cleveland County

Emergency services Birthing friendly

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340032

Location2525 Court DrGastonia, NC 28052 · Gaston County

Emergency services Birthing friendly

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340053

Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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.

98.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

3 suppliers40 claims5,720 services$1.45 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

DR. BARRY RUSSELL LEE M.D.

Urology

631 COX RD
GASTONIA, NC 28054

Gaston County (704) 864-7764

DR. RODNEY WILSON SMITH M.D.

Urology

631 COX RD
GASTONIA, NC 28054

Gaston County (704) 864-7764

DR. BRIAN DEREK BUZZEO M.D.

Urology

631 COX RD
GASTONIA, NC 28054

Gaston County (704) 864-7764

GASTON UROLOGICAL ASSOCIATES, P.A.

Urology

631 COX RD
GASTONIA, NC 28054

Gaston County (704) 864-7764

MARY JANE GERSTEIN NP

Nurse Practitioner

631 COX RD
GASTONIA, NC 28054

Gaston County (704) 864-7764

DR. PAUL M RODENBERGER MD

Urology

631 COX RD
GASTONIA, NC 28054

Gaston County (704) 864-7764

SRAVAN PANUGANTI D.O.

Urology

631 COX RD
GASTONIA, NC 28054

Gaston County (704) 864-7764

DR. JOHN BOSTIAN GARRETT JR. M.D.

Urology

631 COX RD
GASTONIA, NC 28054

Gaston County (704) 864-7764

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 Ashley Starnes's NPI number?

The NPI number for Ashley Starnes is 1346768165. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Where is Ashley Starnes located?

Ashley Starnes practices at 631 Cox Rd, Gastonia, NC 28054. The listed phone number is (048) 647-7647.

What is Ashley Starnes's specialty?

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

Is Ashley Starnes enrolled in Medicare?

Yes. Ashley Starnes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ashley Starnes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Starnes reassigns Medicare benefits to Carolina Urology Partners PLLC (Huntersville, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Starnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ashley Starnes affiliated with any hospitals?

According to CMS data, Ashley Starnes is affiliated with Atrium Health Cleveland, Caromont Regional Medical Center, Novant Health Presbyterian Medical Center and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Ashley Starnes was last updated on May 27, 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.