Stacey Kathryn Prudich
Pediatric Nurse Practitioner · Wake Forest, NC
Stacey Kathryn Prudich is a pediatric nurse practitioner with a practice address in Wake Forest, North Carolina, and NPI 1831806017, issued on Oct 28, 2022. Check the license (North Carolina 5017148, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Stacey Kathryn Prudich
- Primary taxonomy
- Pediatric Nurse Practitioner 363LP0200X
- License numbers
- 5017148 NC
PRUD-6TDQL NC
Self-reported in NPPES; status is on the state search - Practice location
- 3000 Rogers RD Ste 210, Wake Forest, NC 27587
- Phone
- (919) 385-2120
- Enumerated
- Oct 28, 2022
- Record last updated
- Oct 29, 2022
- Entity
- Type 1 · individual
Also registered at 3000 Rogers RD Ste 210
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Elzia Broussard, MDPediatrics Physician1376006254
- Nicole Cameron, MDPediatrics Physician1720239247
- Erika Cravanas, M.D.Pediatrics Physician1629369079
- Christian Nechyba, M.D.Pediatrics Physician1083624704
- Sara Tabrizi, M.D.Pediatrics Physician1164460630
Verify Stacey Kathryn Prudich in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 5017148Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $119.70
1 payment: food and beverage; the largest payer was Sanofi Pasteur Inc. The 7,169 providers of this specialty with any payment received $330.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
14 pediatric nurse practitioner records list a practice address in Wake Forest
They are 14 of the 1,106 NPPES records with a practice address in Wake Forest, and 652 pediatric nurse practitioner records in North Carolina.
All 14 in Wake Forest → All 652 in North Carolina → Every provider in Wake Forest →
Other pediatric nurse practitioner records in North Carolina
- Kathryn Abely, CPNP-PCConover, NC1689454274
- Mary Alexander, NURSE PRACTITIONERGastonia, NC1245395557
- Irum Ali, CPNP-PCFayetteville, NC1295528149
- Kameron Allen, CPNPSouthern Pines, NC1952933970
- Sarah Allen, CPNPSouthern Pines, NC1629746862
- Sharon Allen, CPNPKernersville, NC1255762860
- Catherine Allison, CPNPWake Forest, NC1497910384
- Kristina Almond, CPNPAlbemarle, NC1386035343
- Mary Alonso, CPNP-PC, PMHNP-BCWinston Salem, NC1982290953
- Brianna Alvarado, CPNP-PCCharlotte, NC1588382279
Common questions
What is Stacey Kathryn Prudich's NPI number?
Stacey Kathryn Prudich's National Provider Identifier (NPI) is 1831806017, issued on Oct 28, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Stacey Kathryn Prudich located?
The NPPES record lists a practice address at 3000 Rogers RD Ste 210, Wake Forest, NC, 27587. Phone: (919) 385-2120. Providers update this record themselves, so call before visiting.
How can I verify Stacey Kathryn Prudich's license?
NPPES lists North Carolina license number 5017148, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.