NPIMap

Individual provider Active NPI

Kenneth Fondren Starnes, MD

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1851772065
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2015017181 Issued in MO
Practice address
1423 N Jefferson Ave Ste B100
Springfield, MO 65802-1917
Phone
(417) 269-8817
Fax
(417) 269-8744
NPI assigned
Jun 12, 2015
Last updated
Jun 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2015017181 MO Primary

Addresses

Primary practice location

1423 N Jefferson Ave Ste B100
Springfield, MO 65802-1917

Mailing address

1423 N Jefferson Ave Ste B100
Springfield, MO 65802-1917
Phone (417) 269-8817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, OR3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171127001573 MO Practitioner - Emergency Medicine 9032476270 Reassigns benefits to 11 organizations
I20180716002208 AR Practitioner - Emergency Medicine 9032476270 Reassigns benefits to 4 organizations
I20231025000861 OR Practitioner - Family Practice 9032476270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Mercy St Francis HospitalGroup PAC ID 7810806643, 9 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 553-6059

100 W US Hwy 60
Mountain View, MO 65548-8542
Phone (417) 934-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2015017181MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage CurrentSince Aug 1, 2021 Accepting new patients
Mercy St. Francis Hospital CurrentSince Sep 2, 2019 Accepting new patients
Mercy St. Francis Hospital CurrentSince Sep 2, 2019 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Mercy Hospital Cassville CurrentSince Sep 1, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine Current Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Ouachita County Medical Center CurrentSince Jul 7, 2019 Accepting new patients
Mercy Hospital Cassville CurrentSince Sep 1, 2021 Accepting new patients
Mercy Hospital Aurora CurrentSince Sep 1, 2021 Accepting new patients
Ouachita County Medical Center Current Accepting new patients
Mercy Hospital Berryville CurrentSince Jul 1, 2020 Accepting new patients
Mercy Hospital Aurora CurrentSince Sep 1, 2021 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Sep 23, 2022 Accepting new patients
Mercy Hospital Carthage Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Oct 9, 2023 Accepting new patients
Ouachita County Medical Center CurrentSince Jul 7, 2019 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Sep 23, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Oct 9, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Oct 9, 2023 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Feb 1, 2026 Accepting new patients

Locations

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

638 California Ave SW
East Camden, AR 71701
Phone (870) 836-1000

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

3500 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1851772065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 N JEFFERSON AVE STE B100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021917",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 N JEFFERSON AVE STE B100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021917",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARNES",
        "first_name": "KENNETH",
        "middle_name": "FONDREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015017181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.