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STACEY LYNN CHILDRESS AGPCNP
NPI 1083018030
Nurse Practitioner - Adult Health in Charleston, SC

Active since October 20, 2014PECOS Enrolled
316 CALHOUN ST, CHARLESTON, SC 29401(843) 724-2450 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacey Lynn Childress Agpcnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY LYNN CHILDRESS AGPCNP (NPI 1083018030) is an individual adult health provider in Charleston, South Carolina, licensed in South Carolina (23153) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083018030
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSTACEY LYNN CHILDRESSCredential: AGPCNP
Location Address316 CALHOUN STCharleston, SC 29401-1113
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620
Phone(843) 724-2450
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 20, 2014
Last NPPES UpdateMay 31, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1083018030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in SC · 23153
316 CALHOUN ST, Charleston, SC 29401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Lynn Childress Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476876616
PECOS Enrollment IDI20220714003379
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Stacey Childress reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roper Hospital, Inc.
Same address
Cardiovascular Disease
316 CALHOUN ST
Charleston, SC 29401
  • Reassigned Medicare billing, South Carolina enrollment
  • 140 clinicians in this Medicare group
NPI 1710915251 (843) 789-1620
Roper Saint Francis Physicians Network
Same address
Internal Medicine
316 CALHOUN ST
Charleston, SC 29401
  • Reassigned Medicare billing, South Carolina enrollment
  • 658 clinicians in this Medicare group
NPI 1013158187 (843) 724-2450
Pruitthealth Hospice, Inc.
17 mi
Hospice Care, Community Based
139 GATEWAY DR
Ladson, SC 29456
  • Reassigned Medicare billing, South Carolina enrollment
  • 17 clinicians in this Medicare group
NPI 1003996711 (843) 573-8623
Columbia Nephrology Associates PA
106 mi
Specialist
121 PARK CENTRAL DR, 200
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 36 clinicians in this Medicare group
NPI 1407821721 (803) 252-9907

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN ANTON SUNG PA-C
Physician Assistant
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 720-8490
AMY LYNN CANINO PA-C
Physician Assistant
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 402-1638
KAREN L SPODAREK D.O.
Radiology (Diagnostic Radiology)
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 724-2154
JOHNNY PHILLIPS CAMPBELL MD
Radiology (Diagnostic Radiology)
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 724-2988
RONA S CUSHMAN NNP
Nurse Practitioner (Neonatal, Critical Care)
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 402-1638
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Internal Medicine
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 724-2450
MRS. ALISON MARIE BONDELL APRN
Nurse Practitioner (Acute Care)
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 724-2450
MRS. DEBORAH LYNN WALKER AGACNP-BC
Nurse Practitioner (Acute Care)
316 CALHOUN ST
CHARLESTON, SC 29401
Charleston County (843) 724-2450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Childress's NPI number?

The NPI number for Stacey Childress is 1083018030. It was assigned to this individual provider in the NPPES registry on October 20, 2014.

Where is Stacey Childress located?

Stacey Childress practices at 316 Calhoun St, Charleston, SC 29401. The listed phone number is (843) 724-2450.

What is Stacey Childress's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stacey Childress enrolled in Medicare?

Yes. Stacey Childress is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Childress's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Childress reassigns Medicare benefits to 4 organizations: Roper Hospital, Inc. (Charleston, SC), Roper Saint Francis Physicians Network (Charleston, SC), Pruitthealth Hospice, Inc. (Ladson, SC) and Columbia Nephrology Associates PA (Columbia, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Childress's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Childress accept?

Health plans from Molina Healthcare and UnitedHealthcare list Stacey Childress as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Childress was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.