Staccey Bascue, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

23273 Issued in SC

Practice address

105 Franklin Square Way Ste a
Easley, SC 29642-3715

Phone

(864) 442-4110

Fax

(855) 206-2136

NPI assigned

Jan 20, 2020

Last updated

Nov 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pruitthealth Physicians Services, LLC

  dba PruittHealth Physicians Services

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1043676299

  Nurse Practitioner, SC

  Medicare reassignment NPD
• Pruitthealth Pharmacy Services, Inc.

  dba PruittHealth Pharmacy Services - Lexington

  • Long Term Care Pharmacy
  • Lexington, SC
  • NPI 1841237245
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669248000000",
    "number": "1346870268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FRANKLIN SQUARE WAY STE A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423715",
            "telephone_number": "864-442-4110",
            "fax_number": "864-442-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FRANKLIN SQUARE WAY STE A",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423715",
            "telephone_number": "864-442-4110",
            "fax_number": "855-206-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCUE",
        "first_name": "STACCEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2022-11-24",
        "certification_date": "2022-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "23273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoria Navette Barnes
• Kathryn E Barnett, M. ED, LPC
• Teresa Barnett, RN
• Lori Bartenfeld
• Mackenzie J Bartz, MD
• Wayne Howard Baskin, RPH
• Mary W. Batson
• Jennifer Baxter, RD
• Charles Lawrence Bayne Jr., ED.S.
• Frank Brown Beacham, MD

• Nurse Practitioner in Easley, SC
• Providers in Easley, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.