Stacy Holley, FNP
NPI 1144647652ActiveIndividual· Nurse Practitioner, Family· Grayson, KY
Nurse Practitioner, Family (FNP) in Grayson, Kentucky, trained at University of Cincinnati College of Medicine (class of 2012). Their prescriptions cost Medicare Part D more than their services did: $18,845 for 633 claims, against $4,700 paid for services in 2024.
Overview
| NPI | 1144647652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Mar 21, 2014 |
| Last updated in NPPES | Sep 20, 2023 |
| Certified by provider | Sep 20, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 84657 | WV |
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 (KY); Practitioner - Nurse Practitioner (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 131 across 17 procedure codes |
| Paid by Medicare | $4,700 |
Part D prescriptions in 2024
| Prescriptions (claims) | 633 · 704 30-day fills |
|---|---|
| Patients | 161 |
| Total drug cost | $18,845 |
| Generic share | 91% of claims |
Education and affiliations
| Medical school | University of Cincinnati College of Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Main Street Medical ClinicGrayson, KY · 2 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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