Staci Blackwell, AU.D.
NPI 1356516033ActiveIndividual· Audiologist· Charlotte, NC
Audiologist (AU.D.) with Novant Health Medical Group, LLC, practicing in Charlotte, North Carolina. Medicare paid $452.45 for services to 13 patients in 2024.
Overview
| NPI | 1356516033 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D. |
| Sole proprietor | No |
| NPI issued | Apr 24, 2008 |
| Last updated in NPPES | Oct 25, 2020 |
| Certified by provider | Sep 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 7282 | NC |
| Audiologist-Hearing Aid Fitter | 237600000X | 1166 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 22 across 5 procedure codes |
| Paid by Medicare | $452.45 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Novant Health Medical Group, LLCWinston Salem, NC · 2,430 clinicians
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