Stacy Dawn Allport-Pridemore, FNP BC
NPI 1649872425ActiveIndividual· Nurse Practitioner· South Charleston, WV
Nurse Practitioner (FNP BC) in South Charleston, West Virginia, licensed in WV, with an NPI issued in November 2020. Their prescriptions cost Medicare Part D more than their services did: $36,790 for 1,095 claims, against $8,583 paid for services in 2024.
Overview
| NPI | 1649872425 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP BC |
| Sole proprietor | No |
| NPI issued | Nov 16, 2020 |
| Last updated in NPPES | Nov 19, 2020 |
| Certified by provider | Nov 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 107640 | WV |
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 (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 236 across 9 procedure codes |
| Paid by Medicare | $8,583 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,095 · 1,111 30-day fills |
|---|---|
| Patients | 77 |
| Total drug cost | $36,790 |
| Generic share | 93% of claims |
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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