Abigail Roulston, APRN
NPI 1386341121ActiveIndividual· Nurse Practitioner, Family· West Columbia, SC
Nurse Practitioner, Family (APRN) with Lexington Health Inc, practicing in West Columbia, South Carolina. Their prescriptions cost Medicare Part D more than their services did: $181,609 for 1,989 claims, against $27,875 paid for services in 2024. Novo Nordisk Inc was the largest of 18 companies reporting payments in 2025, $1,026 in all, mostly food and beverage. Lists Lexington Medical Center as a hospital affiliation.
Overview
| NPI | 1386341121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Feb 13, 2023 |
| Last updated in NPPES | Mar 25, 2024 |
| Certified by provider | Mar 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 27920 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 241 |
|---|---|
| Services billed | 916 across 60 procedure codes |
| Paid by Medicare | $27,875 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,989 · 3,537 30-day fills |
|---|---|
| Patients | 337 |
| Total drug cost | $181,609 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Lexington Health IncWest Columbia, SC · 904 clinicians
Hospital affiliation
- Lexington Medical CenterWest Columbia, SC
Industry payments (Open Payments)
- 2025$1,026 · 55 payments from 18 companies
- 2024$469.68 · 30 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $278.53 | 10 |
| Astrazeneca Pharmaceuticals LP | $159.15 | 15 |
| Abbott Laboratories | $91.96 | 4 |
| Lilly USA, LLC | $68.88 | 3 |
| Stryker Corporation | $51.39 | 2 |
What the 2025 payments were for
- Food and Beverage$1,026 · 55 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 83 family nurse practitioners in West Columbia · All family nurse practitioners in South Carolina