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MRS. KARLA SUE MCHUGHES APN
NPI 1184910242
Nurse Practitioner - Family in Allen, TX

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
931 STATE HIGHWAY 121 APT 2100, ALLEN, TX 75013(972) 722-7860(972) 295-9600 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Dec 15, 2025, Feb 15, 2016 (2 updates tracked since 2016).

About Mrs. Karla Sue Mchughes Apn NPPES

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

MRS. KARLA SUE MCHUGHES APN (NPI 1184910242) is an individual family provider in Allen, Texas, licensed in Texas (569659) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1184910242
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KARLA SUE MCHUGHESCredential: APN
Location Address931 STATE HIGHWAY 121 APT 2100Allen, TX 75013-1182
Mailing Address1512 Teasley LnDenton, TX 76205-7282 · (940) 442-5209 · Fax (940) 222-2720
Phone(972) 722-7860
Fax(972) 295-9600
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1184910242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 569659
931 STATE HIGHWAY 121 APT 2100, Allen, TX 75013
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Karla Sue Mchughes Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840596508
PECOS Enrollment IDI20221226000050
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75013 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers12 claims143 services$18.27 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers13 claims400 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers48 claims151 services$5.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers16 claims25 services$1.16 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers19 claims19 services$290.21 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
11 suppliers235 claims237 services$184.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SAMEERA TALLAPUREDDY MD
Internal Medicine
931 STATE HIGHWAY 121 APT 2100
ALLEN, TX 75013
Collin County (972) 722-7860

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 Karla Mchughes's NPI number?

The NPI number for Karla Mchughes is 1184910242. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Karla Mchughes located?

Karla Mchughes practices at 931 State Highway 121 Apt 2100, Allen, TX 75013. The listed phone number is (972) 722-7860.

What is Karla Mchughes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karla Mchughes enrolled in Medicare?

Yes. Karla Mchughes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karla Mchughes accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Karla Mchughes 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.

Is Karla Mchughes affiliated with any hospitals?

According to CMS data, Karla Mchughes is affiliated with Medical Center Of Mckinney and Medical City Plano.

When was this NPI record last updated?

The NPPES record for Karla Mchughes was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.