JENNA BROOKE PUGH FNP
NPI 1124660063
Nurse Practitioner - Family in Jackson, MS
About Jenna Brooke Pugh Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA BROOKE PUGH FNP (NPI 1124660063) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (903532) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenna Brooke Pugh Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jenna Pugh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Canton, MS 39046
- Reassigned Medicare billing, Mississippi enrollment
- 12 clinicians in this Medicare group
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 clinicians in this Medicare group
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 39201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39201
JACKSON, MS 39201
JACKSON, MS 39201
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 Jenna Pugh's NPI number?
The NPI number for Jenna Pugh is 1124660063. It was assigned to this individual provider in the NPPES registry on October 11, 2019.
Where is Jenna Pugh located?
Jenna Pugh practices at 317 E Capitol St Ste 200, Jackson, MS 39201. The listed phone number is (888) 731-8994.
What is Jenna Pugh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jenna Pugh enrolled in Medicare?
Yes. Jenna Pugh is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jenna Pugh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Pugh reassigns Medicare benefits to 2 organizations: Mallory Community Health (Canton, MS) and Fast Pace Mississippi, PLLC (Ripley, MS). 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 Jenna Pugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jenna Pugh accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Jenna Pugh 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 Jenna Pugh was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Jenna Brooke Pugh, FNP · NPI 1124660063
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since October 11, 2019.
## Identity
- **NPI:** 1124660063 (Entity type: Individual)
- **Enumerated:** October 11, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 903532 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 317 E CAPITOL ST STE 200, Jackson, MS 39201-3405
- **Phone:** (888) 731-8994
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mallory Community Health (NPI 1013034636, Canton, MS); Fast Pace Mississippi, PLLC (NPI 1447769559, Ripley, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124660063) · Data from the CMS NPPES public registry.