Wendy Ann Starnes , AGNP-C, AGPCNP-BC
Nurse Practitioner • Marshall, TX
1600 S Washington Ave
Marshall, TX 75670
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 30, 2014; this date does not establish years in practice.
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Published CMS data list 729 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 226 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 221 service units.
- G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 76 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 9 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 2,643 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.
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Published Part D records, 2024:
- Levothyroxine Sodium — 212 prescription fills, including refills.
- Amlodipine Besylate — 143 prescription fills, including refills.
- Farxiga (Dapagliflozin Propanediol) — 105 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 73 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 101 in 2019 to 729 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2024.
Practice Location & Contact Primary Location
1600 S Washington Ave
Marshall, TX 75670
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Longview, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: East Texas Precision Medicine Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2014
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
167 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $43,901 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $32,537 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
6,287 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
$443,817 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: $1,130.20 across 57 records.
By nature of payment
- Food and Beverage: $1,130.20 across 57 records.
Reporting-company totals (3 largest of 14)
- Novo Nordisk Inc: $231.57 across 12 records.
- AstraZeneca Pharmaceuticals LP: $217.95 across 7 records.
- ABBVIE INC.: $181.24 across 8 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).
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2014
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Wendy Starnes 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 Wendy Starnes 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 Marshall and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: 219. Middle half: 83 to 548.
Too few clinicians listed under Nurse Practitioner in Marshall have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $17,068. Middle half: $6,758 to $39,305.
Too few clinicians listed under Nurse Practitioner in Marshall have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Texas (2024, 1,852 clinicians with data). Median for this group: $12,638. Middle half: $4,849 to $28,908.
Too few clinicians listed under Nurse Practitioner in Marshall have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: 274. Middle half: 77 to 1,097.
Too few clinicians listed under Nurse Practitioner in Marshall have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Texas (2024, 2,095 clinicians with data). Median for this group: $12,936. Middle half: $998 to $118,416.
Too few clinicians listed under Nurse Practitioner in Marshall have Medicare Part D data for 2024 to compare.
6 active clinicians are listed under Nurse Practitioner with a practice address in Marshall, TX (4,835 in Texas).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 622% from 101 in 2019 to 729 in 2024.
- 2019: 101
- 2021: 14
- 2022: 565
- 2023: 713
- 2024: 729
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Medicare-allowed amount
Medicare-allowed amount increased 670% from $5,702 in 2019 to $43,901 in 2024.
- 2019: $5,702
- 2021: $39
- 2022: $34,406
- 2023: $44,085
- 2024: $43,901
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Paid by Medicare
Paid by Medicare increased 698% from $4,078 in 2019 to $32,537 in 2024.
- 2019: $4,078
- 2021: $39
- 2022: $27,719
- 2023: $32,182
- 2024: $32,537
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 85% from 1,430 in 2020 to 2,643 in 2024.
- 2020: 1,430
- 2021: 2,244
- 2022: 3,101
- 2023: 2,992
- 2024: 2,643
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30-day fills
30-day fills increased 161% from 2,408 in 2020 to 6,287 in 2024.
- 2020: 2,408
- 2021: 3,841
- 2022: 5,767
- 2023: 5,706
- 2024: 6,287
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Part D drug cost
Part D drug cost increased 476% from $77,025 in 2020 to $443,817 in 2024.
- 2020: $77,025
- 2021: $173,361
- 2022: $320,244
- 2023: $458,895
- 2024: $443,817
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 24% from $1,492.85 in 2021 to $1,130.20 in 2025.
- 2021: $1,492.85
- 2022: $948.56
- 2023: $1,283.52
- 2024: $978.44
- 2025: $1,130.20
Sources: CMS Medicare Physician & Other Practitioners (2024), 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): 57 records totaling $1,130.20.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $125.00 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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BREZTRI | General | $124.40 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $93.50 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $86.77 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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AUSTEDO XR | General | $25.77 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $22.52 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rybelsus | General | $21.38 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $19.97 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $19.64 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $19.45 |
| Lundbeck LLC |
Food and Beverage
Cash or cash equivalent
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REXULTI | General | $19.38 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $19.20 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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REPATHA | General | $19.06 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $19.04 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $19.03 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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OTEZLA | General | $17.99 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $17.94 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $17.78 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $17.70 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $17.52 |
| Collegium Pharmaceutical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Jornay PM | General | $17.05 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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TRELEGY ELLIPTA | General | $16.99 |
| Astellas Pharma US Inc |
Food and Beverage
In-kind items and services
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Veozah | General | $16.37 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Rybelsus | General | $16.36 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
TZIELD | General | $16.21 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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226 | 115 | $225.00 | $103.68 |
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36415
Insertion of needle into vein for collection of blood sample
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221 | 110 | $21.00 | $8.61 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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76 | 76 | $227.00 | $105.09 |
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G0444
Annual depression screening, 5 to 15 minutes
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76 | 76 | $35.00 | $15.17 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
65 | 48 | $150.00 | $73.52 |
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99497
Advance care planning, first 30 minutes
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30 | 30 | $168.00 | $66.61 |
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81003
Automated urinalysis test
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13 | 13 | $18.00 | $2.20 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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11 | 11 | $83.00 | $11.57 |
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99496
Transitional care management services for problem of high complexity
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11 | 11 | $452.00 | $226.74 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
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 |
|---|---|---|---|---|---|
| Levothyroxine Sodium | Levothyroxine Sodium | 212 | 16,335 | $2,926.72 | 63 |
| Amlodipine Besylate | Amlodipine Besylate | 143 | 12,210 | $701.65 | 52 |
| Farxiga | Dapagliflozin Propanediol | 105 | 5,830 | $108,385.78 | 29 |
| Ozempic | Semaglutide | 95 | 4,470 | $140,456.36 | 20 |
| Losartan Potassium | Losartan Potassium | 92 | 7,092 | $484.30 | 26 |
| Lisinopril | Lisinopril | 75 | 6,315 | $427.42 | 26 |
| Hydrochlorothiazide | Hydrochlorothiazide | 74 | 5,460 | $252.85 | 22 |
| Atorvastatin Calcium | Atorvastatin Calcium | 73 | 6,137 | $528.15 | 32 |
| Pantoprazole Sodium | Pantoprazole Sodium | 72 | 5,859 | $673.38 | 35 |
| Potassium Chloride | Potassium Chloride | 71 | 5,090 | $1,169.50 | 23 |
| Gabapentin | Gabapentin | 70 | 4,575 | $1,228.71 | 28 |
| Simvastatin | Simvastatin | 60 | 4,895 | $336.57 | 17 |
| Trazodone Hcl | Trazodone Hcl | 55 | 3,836 | $508.97 | 19 |
| Metoprolol Succinate | Metoprolol Succinate | 52 | 4,560 | $427.76 | 19 |
| Metformin Hcl | Metformin Hcl | 50 | 4,200 | $167.08 | 19 |
| Duloxetine Hcl | Duloxetine Hcl | 49 | 3,390 | $1,218.67 | 13 |
| Carvedilol | Carvedilol | 42 | 3,480 | $152.22 | 15 |
| Progesterone | Progesterone, Micronized | 42 | 3,270 | $1,516.01 | 16 |
| Metoprolol Tartrate | Metoprolol Tartrate | 41 | 2,355 | $96.89 | 14 |
| Escitalopram Oxalate | Escitalopram Oxalate | 41 | 3,088 | $245.11 | 11 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 41 | 2,285 | $1,737.90 | 18 |
| Meloxicam | Meloxicam | 40 | 2,400 | $175.57 | 14 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 40 | 3,482 | $469.07 | 16 |
| Montelukast Sodium | Montelukast Sodium | 37 | 3,220 | $552.96 | 11 |
| Omeprazole | Omeprazole | 36 | 3,020 | $586.37 | 14 |
(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: 2025-07-09NUCC 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.
NUCC Taxonomy Code: 363LG0600X
NUCC Taxonomy Code: 363LP2300X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20141106001175
TX
3577653625
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
East Texas Precision Medicine Pllc
1600 S Washington Ave, Marshall, TX 756706852
Phone: 9033203200
Secondary Practice Locations
103 W Loop 281 Ste 472
Longview, TX 756054615
Phone: 9032127550
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Nurse Practitioner (license number reported to NPPES: TX AP126149)
Registered at 1600 S WASHINGTON AVE, MARSHALL, TX 75670 (Tel: 9033203200)
Registered at PO BOX 45, MARSHALL, TX 756710045 (Tel: 9033203200)
NPI status registered as active in NPPES database
Registered at 4002 TECHNOLOGY CTR, LONGVIEW, TX 756052697 (Tel: 9032470484)
Registered at 307 MONTERREY LN, WHITE OAK, TX 756933031 (Tel: 9037368142)
Recorded as WENDY STARNES, AGNP-C, AGPCNP-BC
Nurse Practitioner (license number reported to NPPES: TX AP126149)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Marshall
Healthcare providers in MarshallMailing Address
Po Box 45
Marshall, TX 756710045
Phone: 9033203200