Ashley Grace Maietta
NPI 1700610706ActiveIndividual· Nurse Practitioner, Gerontology· Myrtle Beach, SC
Nurse Practitioner, Gerontology with Dermaheal, LLC, practicing in Myrtle Beach, South Carolina. Mostly services rather than prescriptions: Medicare paid $243,681 for 25 patients in 2024, with only 14 Part D claims. Lists McLeod Loris Hospital as a hospital affiliation.
Overview
| NPI | 1700610706 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 30, 2024 |
| Last updated in NPPES | Aug 30, 2024 |
| Certified by provider | Aug 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 29298 | 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 | 25 |
|---|---|
| Services billed | 366 across 16 procedure codes |
| Paid by Medicare | $243,681 |
Part D prescriptions in 2024
| Prescriptions (claims) | 14 · 14 30-day fills |
|---|---|
| Total drug cost | $139.96 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Dermaheal, LLCMyrtle Beach, SC · 4 clinicians
Hospital affiliation
- McLeod Loris HospitalLoris, SC
Other facilities
- Amedisys Home Health of ConwayHome health agency · Conway, SC
- Centerwell Home HealthHome health agency · Myrtle Beach, SC
- Medical Services of America Home Health - CoastalHome health agency · Myrtle Beach, SC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other gerontology nurse practitioners in Myrtle Beach
- 1639669088
- 1417490640
- 1881287530
- 1578518429
- 1548596042
- 1285433235
- 1801783972