Amanda Mays Lack, APRN
NPI 1124532528ActiveIndividual· Nurse Practitioner, Gerontology· Seneca, SC
Nurse Practitioner, Gerontology (APRN) with Centerwell Senior Primary Care SC PC, practicing in Seneca, South Carolina. Their prescriptions cost Medicare Part D more than their services did: $687,361 for 8,120 claims, against $6,615 paid for services in 2024.
Overview
| NPI | 1124532528 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Nov 21, 2017 |
| Last updated in NPPES | Apr 30, 2026 |
| Certified by provider | Apr 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 23238 | SC |
| Nurse Practitioner, Adult Health | 363LA2200X | RN162689 | GA |
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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 144 across 25 procedure codes |
| Paid by Medicare | $6,615 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,120 · 20,338 30-day fills |
|---|---|
| Patients | 661 |
| Total drug cost | $687,361 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Centerwell Senior Primary Care SC PCGreenville, SC · 45 clinicians
Other facilities
- Centerwell Home HealthHome health agency · Greenville, SC
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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