Lacy Danielle Gulledge, ARNP
NPI 1609387174ActiveIndividual· Nurse Practitioner, Gerontology· Jacksonville, FL
Nurse Practitioner, Gerontology (ARNP) with Integris Ambulatory Care Corporation, practicing in Jacksonville, Florida. 80 Medicare patients in 2024, $6,627 paid; nearly all of their 127 Part D prescriptions were generic (90%). Lists Integris Baptist Medical Center, Inc as a hospital affiliation.
Overview
| NPI | 1609387174 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Oct 23, 2017 |
| Last updated in NPPES | Jan 30, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | ARNP9429348 | FL |
| Nurse Practitioner, Acute Care | 363LA2100X | ARNP9429348 | FL |
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 (FL); Practitioner - Nurse Practitioner (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 123 across 30 procedure codes |
| Paid by Medicare | $6,627 |
Part D prescriptions in 2024
| Prescriptions (claims) | 127 · 129 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $1,782 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Integris Ambulatory Care CorporationSpencer, OK · 685 clinicians
Hospital affiliation
- Integris Baptist Medical Center, IncOklahoma City, OK
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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All 41 gerontology nurse practitioners in Jacksonville · All gerontology nurse practitioners in Florida