MS. KRISTINA STARNES APRN
NPI 1548670532
Nurse Practitioner - Family in Great Falls, SC

Active since April 30, 2014PECOS EnrolledAccepts Medicare Assignment
503 CHESTER AVE, SUITE C, GREAT FALLS, SC 29055(803) 482-5904(803) 482-5906 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2022, Aug 25, 2021, Jul 9, 2021 and 1 more (4 updates tracked since 2021).

About Ms. Kristina Starnes Aprn NPPES

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

MS. KRISTINA STARNES APRN (NPI 1548670532) is an individual family provider in Great Falls, South Carolina, licensed in South Carolina (24898) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Musc Health Lancaster Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548670532
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KRISTINA STARNESCredential: APRN
Location Address503 CHESTER AVE, SUITE CGreat Falls, SC 29055
Mailing Address503 Chester Ave Suite CGreat Falls, SC 29055 · (803) 482-5904 · Fax (803) 482-5906
Fax(803) 482-5906
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 30, 2014
Last NPPES UpdateJuly 18, 20224 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
NPI 1548670532 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 SC · 24898
Also ListedRegistered NurseTaxonomy 163W00000X · License 95993 (SC)
503 CHESTER AVE, Great Falls, SC 29055

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 and accepts Medicare assignment

Ms. Kristina Starnes Aprn 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 ID446656417
PECOS Enrollment IDI20210831002572
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 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.
385 services93 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
50 services50 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.
25 services25 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
20 services15 patients

Hospital Affiliations CMS Care Compare

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

Musc Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420036
Location800 W Meeting StLancaster, SC 29720 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29055 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress E0294
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$35.89 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers38 claims38 services$17.70 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers38 claims38 services$6.67 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 2

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

Pharmacy (Community/Retail Pharmacy)
503 CHESTER AVE, SUITE A
GREAT FALLS, SC 29055
Pharmacist
503 CHESTER AVE, SUITE A
GREAT FALLS, SC 29055

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 Kristina Starnes's NPI number?

The NPI number for Kristina Starnes is 1548670532. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Kristina Starnes located?

Kristina Starnes practices at 503 Chester Ave Suite C, Great Falls, SC 29055. The listed phone number is (803) 482-5904.

What is Kristina Starnes's specialty?

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

Is Kristina Starnes enrolled in Medicare?

Yes. Kristina 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.

What insurance does Kristina Starnes accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare and UnitedHealthcare list Kristina 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 Kristina Starnes affiliated with any hospitals?

According to CMS data, Kristina Starnes is affiliated with Musc Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Kristina Starnes was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.