Stacy Sue Kelley, CNP
NPI 1174802938ActiveIndividual· Nurse Practitioner· Lewis Center, OH
Nurse Practitioner (CNP) with Osu General Internal Medicine LLC, practicing in Lewis Center, Ohio. Their prescriptions cost Medicare Part D more than their services did: $186,966 for 2,183 claims, against $20,003 paid for services in 2024. Lists Ohio State University State Health System as a hospital affiliation.
Overview
| NPI | 1174802938 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Aug 11, 2011 |
| Last updated in NPPES | Mar 7, 2025 |
| Certified by provider | Mar 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN.CNP.12521 | OH |
| Nurse Practitioner, Family | 363LF0000X | APRN.CNP.12521 | OH |
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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 157 |
|---|---|
| Services billed | 465 across 41 procedure codes |
| Paid by Medicare | $20,003 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,183 · 5,037 30-day fills |
|---|---|
| Patients | 214 |
| Total drug cost | $186,966 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Osu General Internal Medicine LLCColumbus, OH · 276 clinicians
Hospital affiliation
- Ohio State University State Health SystemColumbus, OH
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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