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MR. CLAYTON WADE STARNES NP
NPI 1346854841
Nurse Practitioner in Mooresville, NC

Active since September 02, 2020PECOS EnrolledAccepts Medicare Assignment
134 MEDICAL PARK RD STE 200, MOORESVILLE, NC 28117(980) 302-7800 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2025, Apr 8, 2021, Sep 2, 2020 (3 updates tracked since 2020).

About Mr. Clayton Wade Starnes Np NPPES

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

MR. CLAYTON WADE STARNES NP (NPI 1346854841) is an individual nurse practitioner in Mooresville, North Carolina, licensed in North Carolina (5023253) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with St Francis Medical Center, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1346854841
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. CLAYTON WADE STARNESCredential: NP
Location Address134 MEDICAL PARK RD STE 200Mooresville, NC 28117-8527
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (980) 302-7800
Phone(980) 302-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 2, 2020
Last NPPES UpdateNovember 7, 20253 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1346854841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5023253
Definition
(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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1008138 (TX)
134 MEDICAL PARK RD STE 200, Mooresville, NC 28117
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Secondary Practice Location 1

Location 11100 N 18th StMonroe, LA 71201 · Phone (318) 361-9900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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

Mr. Clayton Wade Starnes Np 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 ID3678989217
PECOS Enrollment IDI20210308000240, I20251121003490
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 Reassignments

3

Medicare enrollment records show Clayton Starnes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Pulmonary Disease
134 MEDICAL PARK RD STE 200
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1053878868 (North Carolina)
  • 2,998 clinicians in this Medicare group
NPI 1295446938 (704) 384-7972
The Presbyterian Hospital
0.1 mi
Hematology & Oncology
170 MEDICAL PARK RD STE 101
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
NPI 1477050698 (980) 302-7070
Mark C. Napoli MD Apmc
678 mi
Specialist
1100 N 18TH ST STE 100
Monroe, LA 71201
  • Reassigned Medicare billing, Louisiana enrollment
  • 3 clinicians in this Medicare group
NPI 1396706735 (318) 361-9900

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

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 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.
42 services42 patients

Hospital Affiliations CMS Care Compare 4

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

St Francis Medical Center

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190125
Location309 Jackson StreetMonroe, LA 71201 · Ouachita County
Emergency services Birthing friendly

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan 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

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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.

Other Providers at the Same Location NPPES 12

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

DR. SURAJ ARORA M.D.
Internal Medicine (Pulmonary Disease)
134 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (704) 384-7972
JEANNIE POON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
134 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (980) 302-7800
DR. MICHAEL JOSEPH MADIGAN JR. MD
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (980) 302-7800
YASHODA BHANDARI DNP
Nurse Practitioner
134 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (980) 302-7800
NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine (Pulmonary Disease)
134 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (704) 384-7972
KATHLEEN WILKIN LAGESSE AGNP-C
Nurse Practitioner
134 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (980) 302-7800
NOVANT HEALTH MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (980) 302-7800
DR. KOBINA ARHIN WILMOT M.D.
Internal Medicine (Cardiovascular Disease)
134 MEDICAL PARK RD STE 200
MOORESVILLE, NC 28117
Iredell County (980) 302-7800

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 Clayton Starnes's NPI number?

The NPI number for Clayton Starnes is 1346854841. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Clayton Starnes located?

Clayton Starnes practices at 134 Medical Park Rd Ste 200, Mooresville, NC 28117. The listed phone number is (980) 302-7800.

What is Clayton Starnes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Clayton Starnes enrolled in Medicare?

Yes. Clayton 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 organizations bill Medicare for Clayton Starnes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clayton Starnes reassigns Medicare benefits to 3 organizations: Novant Health Medical Group, LLC (Mooresville, NC), The Presbyterian Hospital (Mooresville, NC) and Mark C. Napoli MD Apmc (Monroe, LA). Each 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 Clayton Starnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clayton Starnes accept?

Health plans from Blue Cross and Blue Shield of NC list Clayton 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 Clayton Starnes affiliated with any hospitals?

According to CMS data, Clayton Starnes is affiliated with St Francis Medical Center, Novant Health Rowan Medical Center, Novant Health Presbyterian Medical Center and Novant Health Huntersville Medical Center.

When was this NPI record last updated?

The NPPES record for Clayton Starnes was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.