Tamra Michelle Starner , CNP
Nurse Practitioner • Monroe, MI
1397 N Monroe St
Monroe, MI 481625360
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on June 1, 2007; this date does not establish years in practice.
-
Published CMS data list 5,704 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 235 prescription fills, including refills.
- Levothyroxine Sodium — 207 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) — 170 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 124 records in the table · Guide: How to read Medicare Part D prescriber data
-
More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,581 clinicians with data). Median for this group: 360. Middle half: 97 to 1,478.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part D prescriptions went from 1,014 in 2020 to 5,704 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020–2024.
Practice Location & Contact Primary Location
1397 N Monroe St
Monroe, MI 481625360
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
9,610 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$453,571 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $309.26 across 17 records.
By nature of payment
- Food and Beverage: $309.26 across 17 records.
Reporting-company totals (3 largest of 8)
- ABBVIE INC.: $99.53 across 5 records.
- Astellas Pharma US Inc: $51.46 across 3 records.
- Novartis Pharmaceuticals Corporation: $47.93 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Tamra Starner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Tamra Starner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Monroe and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,581 clinicians with data). Median for this group: 360. Middle half: 97 to 1,478.
Too few clinicians listed under Nurse Practitioner in Monroe have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,581 clinicians with data). Median for this group: $24,697. Middle half: $1,472 to $176,540.
Too few clinicians listed under Nurse Practitioner in Monroe have Medicare Part D data for 2024 to compare.
18 active clinicians are listed under Nurse Practitioner with a practice address in Monroe, MI (3,576 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Monroe
5.6% of these 18 clinicians have the CMS telehealth indicator.
44.4% of these 18 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 463% from 1,014 in 2020 to 5,704 in 2024.
- 2020: 1,014
- 2021: 2,562
- 2022: 4,100
- 2023: 4,688
- 2024: 5,704
-
30-day fills
30-day fills increased 447% from 1,756 in 2020 to 9,610 in 2024.
- 2020: 1,756
- 2021: 4,501
- 2022: 6,809
- 2023: 7,931
- 2024: 9,610
-
Part D drug cost
Part D drug cost increased 3048% from $14,406 in 2020 to $453,571 in 2024.
- 2020: $14,406
- 2021: $113,619
- 2022: $205,014
- 2023: $383,510
- 2024: $453,571
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $502.71 in 2021 to $309.26 in 2025.
- 2021: $502.71
- 2022: $461.86
- 2023: $318.12
- 2024: $437.76
- 2025: $309.26
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 17 records totaling $309.26.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
BOTOX | General | $30.34 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $22.31 |
| Axsome Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
Auvelity | General | $20.64 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) |
Food and Beverage
In-kind items and services
|
CAPLYTA | General | $19.77 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $18.82 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $18.75 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Veozah | General | $18.67 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Veozah | General | $18.00 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $17.12 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
LEQVIO | General | $17.04 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
|
Ozempic | General | $16.94 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
XIFAXAN | General | $15.84 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
LEQVIO | General | $15.53 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
LEQVIO | General | $15.36 |
| Aimmune Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
ZENPEP | General | $14.84 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
|
Veozah | General | $14.79 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $14.50 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 235 | 6,143 | $5,203.14 | 37 |
| Levothyroxine Sodium | Levothyroxine Sodium | 207 | 16,740 | $2,130.67 | 62 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 170 | 4,800 | $6,310.24 | 18 |
| Losartan Potassium | Losartan Potassium | 156 | 9,408 | $1,557.26 | 36 |
| Methylprednisolone | Methylprednisolone | 150 | 906 | $791.45 | 83 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 141 | 4,982 | $4,414.59 | 43 |
| Gabapentin | Gabapentin | 140 | 6,102 | $2,269.99 | 35 |
| Atorvastatin Calcium | Atorvastatin Calcium | 139 | 10,555 | $1,452.66 | 47 |
| Furosemide | Furosemide | 127 | 7,696 | $637.44 | 39 |
| Lisinopril | Lisinopril | 126 | 10,430 | $1,063.82 | 44 |
| Omeprazole | Omeprazole | 114 | 7,560 | $1,073.59 | 38 |
| Azithromycin | Azithromycin | 108 | 572 | $464.36 | 63 |
| Amlodipine Besylate | Amlodipine Besylate | 108 | 7,841 | $546.33 | 37 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 95 | 3,465 | $347.26 | 28 |
| Lorazepam | Lorazepam | 90 | 2,292 | $277.87 | 22 |
| Sertraline Hcl | Sertraline Hcl | 88 | 5,022 | $830.37 | 22 |
| Metformin Hcl | Metformin Hcl | 87 | 7,466 | $855.31 | 35 |
| Trazodone Hcl | Trazodone Hcl | 86 | 3,930 | $543.59 | 18 |
| Mounjaro | Tirzepatide | 85 | 2,996 | $109,259.53 | 19 |
| Ibuprofen | Ibuprofen | 82 | 3,740 | $1,081.53 | 35 |
| Metoprolol Succinate | Metoprolol Succinate | 80 | 6,230 | $1,262.12 | 26 |
| Alprazolam | Alprazolam | 77 | 2,255 | $491.05 | 12 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 77 | 651 | $264.44 | 47 |
| Meloxicam | Meloxicam | 73 | 4,430 | $357.88 | 23 |
| Azelastine Hcl | Azelastine Hcl | 63 | 2,215 | $1,591.04 | 38 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-04-06NUCC Taxonomy Code: 363L00000X
(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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20040708001273
MI
2961480751
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2515 W TEMPERANCE RD, TEMPERANCE, MI 481829429 (Tel: 7342433420)
Recorded as TAMRA STARNER, CNP
NPI status registered as active in NPPES database
Registered at 1397 N MONROE ST, MONROE, MI 481625360 (Tel: 7342433420)
Registered at 7676 KENSINGTON RD, LAMBERTVILLE, MI 481448628 (Tel: 7348562109)
Recorded as TAMRA TRAINOR, CNP
Nurse Practitioner (license number reported to NPPES: MI 4704218986)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Monroe
- Maris Mahalak
- Shawn Milner, NP
- Timothy Kellie, CNP
- Nicole Philippon, NP
- Anissa Castelluzzo, ANP
- Adam Maciver, NP
Mailing Address
2515 W Temperance Rd
Temperance, MI 481829429
Phone: 7342433420