Stacylynne Bolks, FNP-BC
NPI 1356684377ActiveIndividual· Nurse Practitioner, Family· Wynnewood, PA
Nurse Practitioner, Family (FNP-BC) with Phoenix Rehabilitation and Health Services Inc and 2 other groups, practicing in Wynnewood, Pennsylvania. 158 Medicare patients in 2024, $28,887 paid; nearly all of their 239 Part D prescriptions were generic (98%). Lists Bryn Mawr Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1356684377 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Mar 27, 2013 |
| Last updated in NPPES | Mar 13, 2026 |
| Certified by provider | Mar 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | SP012846 | PA |
| Nurse Practitioner | 363L00000X | SP012846 | PA |
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 (DE); Practitioner - Nurse Practitioner (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 158 |
|---|---|
| Services billed | 654 across 43 procedure codes |
| Paid by Medicare | $28,887 |
Part D prescriptions in 2024
| Prescriptions (claims) | 239 · 295 30-day fills |
|---|---|
| Patients | 149 |
| Total drug cost | $11,237 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Phoenix Rehabilitation and Health Services IncCranberry Twp, PA · 2,800 clinicians
- Main Line HealthcareWynewood, PA · 1,184 clinicians
- Premier Orthopaedic and Sports Medicine Associates, LtdBroomall, PA · 216 clinicians
Hospital affiliations
- Bryn Mawr HospitalBryn Mawr, PA
- Chester County HospitalWest Chester, PA
- Main Line Hospital LankenauWynnewood, PA
- Paoli HospitalPaoli, PA
- Riddle Memorial HospitalMedia, PA
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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