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MANDY M STARNES CRNP
NPI 1912728726
Nurse Practitioner in Madison, AL

Active since October 23, 2024PECOS Enrolled
708 WILL HALSEY WAY STE A, MADISON, AL 35758(256) 325-7425 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2026, Sep 8, 2025 (2 updates tracked since 2025).

About Mandy M Starnes Crnp NPPES

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

MANDY M STARNES CRNP (NPI 1912728726) is an individual nurse practitioner in Madison, Alabama, licensed in Alabama (1-170095) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912728726
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMANDY M STARNESCredential: CRNP
Location Address708 WILL HALSEY WAY STE AMadison, AL 35758-2566
Mailing Address708 Will Halsey Way Ste AMadison, AL 35758-2566 · (256) 325-7425 · Fax (256) 325-2765
Phone(256) 325-7425
Sole ProprietorYes
Enumeration DateOctober 23, 2024
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1912728726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-170095
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.
708 WILL HALSEY WAY STE A, Madison, AL 35758
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandy M Starnes Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Mandy Starnes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Internal Medicine And Pediatrics
Same address
Multi-Specialty
708 WILL HALSEY WAY, SUITE A
Madison, AL 35758
  • Reassigned Medicare billing, Alabama enrollment
  • 5 clinicians in this Medicare group
NPI 1851372460 (256) 325-7425
Signify Health, LLC
594 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Alabama enrollment
  • 456 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 5

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

DR. AKRAM IBRAHIEM HAGGAG MD
Internal Medicine
708 WILL HALSEY WAY STE A
MADISON, AL 35758
Madison County (256) 325-2763
MRS. HEIDI MELISSA SIMPSON CRNP, RN
Nurse Practitioner (Family)
708 WILL HALSEY WAY STE A
MADISON, AL 35758
Madison County (256) 325-7425
NERMEIN MOHAMED LOTFY MD
Pediatrics
708 WILL HALSEY WAY STE A
MADISON, AL 35758
Madison County (256) 325-2763
AMY NICOLE JOHNSON CRNP
Nurse Practitioner (Family)
708 WILL HALSEY WAY STE A
MADISON, AL 35758
Madison County (256) 325-7425
JARED L CONNOR AGACNP-BC
Nurse Practitioner (Acute Care)
708 WILL HALSEY WAY STE A
MADISON, AL 35758
Madison County (256) 325-7425

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 Mandy Starnes's NPI number?

The NPI number for Mandy Starnes is 1912728726. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Where is Mandy Starnes located?

Mandy Starnes practices at 708 Will Halsey Way Ste A, Madison, AL 35758. The listed phone number is (256) 325-7425.

What is Mandy Starnes's specialty?

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

Is Mandy Starnes enrolled in Medicare?

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

Which organizations bill Medicare for Mandy Starnes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Starnes reassigns Medicare benefits to 2 organizations: Valley Internal Medicine And Pediatrics (Madison, AL) and Signify Health, LLC (Dallas, TX). 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 Mandy Starnes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mandy Starnes accept?

Health plans from Blue Cross and Blue Shield of Alabama list Mandy 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.

When was this NPI record last updated?

The NPPES record for Mandy Starnes was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.