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MRS. KATHLEEN PUGH NP
NPI 1164978581
Nurse Practitioner - Adult Health in Waukesha, WI

Active since August 26, 2016PECOS Enrolled
75.75/100
CMS Quality Rating
20800 SWENSON DR STE 175, WAUKESHA, WI 53186(262) 785-0777(262) 785-8029 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2026, Mar 4, 2021, Dec 23, 2020 and 2 more (5 updates tracked since 2016).

About Mrs. Kathleen Pugh Np NPPES

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

MRS. KATHLEEN PUGH NP (NPI 1164978581) is an individual adult health provider in Waukesha, Wisconsin, licensed in Wisconsin (7281-33) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164978581
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KATHLEEN PUGHCredential: NP
Location Address20800 SWENSON DR STE 175Waukesha, WI 53186-4000
Mailing Address20800 Swenson Dr Ste 175Waukesha, WI 53186-4000 · (262) 785-0777 · Fax (262) 785-8029
Phone(262) 785-0777
Fax(262) 785-8029
Sole ProprietorYes
Enumeration DateAugust 26, 2016
Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1164978581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WI · 7281-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 180033-30 (WI)
20800 SWENSON DR STE 175, Waukesha, WI 53186
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathleen Pugh Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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.

DR. DOUGLAS HEMPEL M.D.
Internal Medicine (Rheumatology)
20800 SWENSON DR STE 175
WAUKESHA, WI 53186
Waukesha County (262) 785-0777
MS. CARLY LYNN SKAMRA M.D.
Internal Medicine (Rheumatology)
20800 SWENSON DR STE 175
WAUKESHA, WI 53186
Waukesha County (262) 785-1964
JULIANA M SHAH APNP
Nurse Practitioner (Primary Care)
20800 SWENSON DR STE 175
WAUKESHA, WI 53186
Waukesha County (262) 785-1964
DR. MARK EDWARD PEARSON M.D.
Internal Medicine (Rheumatology)
20800 SWENSON DR STE 175
WAUKESHA, WI 53186
Waukesha County (262) 785-0777
WEST SUBURBAN CTR FOR ARTHRITIS
Internal Medicine (Rheumatology)
20800 SWENSON DR STE 175
WAUKESHA, WI 53186
Waukesha County (262) 785-0777
RYAN M SCHRADER P.A.
Physician Assistant
20800 SWENSON DR STE 175
WAUKESHA, WI 53186
Waukesha County (262) 785-1964
WEST SUBURBAN CTR FOR ARTHRITIS
Non-Pharmacy Dispensing Site
20800 SWENSON DR STE 175
WAUKESHA, WI 53186
Waukesha County (262) 785-1964

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 Kathleen Pugh's NPI number?

The NPI number for Kathleen Pugh is 1164978581. It was assigned to this individual provider in the NPPES registry on August 26, 2016.

Where is Kathleen Pugh located?

Kathleen Pugh practices at 20800 Swenson Dr Ste 175, Waukesha, WI 53186. The listed phone number is (262) 785-0777.

What is Kathleen Pugh's specialty?

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

Is Kathleen Pugh enrolled in Medicare?

Yes. Kathleen Pugh is registered in the Medicare PECOS enrollment system.

What insurance does Kathleen Pugh accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Kathleen 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 Kathleen Pugh was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.