Stacey Lynn Childress, AGPCNP
NPI 1083018030ActiveIndividual· Nurse Practitioner, Adult Health· Charleston, SC
Nurse Practitioner, Adult Health (AGPCNP) with Pruitthealth Hospice Inc and 1 other group, practicing in Charleston, South Carolina. Part D covered 137 prescriptions written in 2024, 86% of them generic.
Overview
| NPI | 1083018030 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGPCNP |
| Sole proprietor | No |
| NPI issued | Oct 20, 2014 |
| Last updated in NPPES | May 31, 2022 |
| Certified by provider | May 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 23153 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (SC) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 137 · 149 30-day fills |
|---|---|
| Patients | 63 |
| Total drug cost | $3,765 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Pruitthealth Hospice IncNorcross, GA · 42 clinicians
- Columbia Nephrology Associates PAWest Columbia, SC · 33 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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