ALYSSA RENELLE PUGH CRNA
NPI 1205166824
Nurse Anesthetist, Certified Registered in Fort Worth, TX

Active since January 04, 2010Accepts Medicare Assignment
93.5/100
CMS Quality Rating
801 7TH AVE, FORT WORTH, TX 76104(682) 885-4054 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 4, 2022, Jun 23, 2018 (2 updates tracked since 2018).

About Alyssa Renelle Pugh Crna NPPES

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

ALYSSA RENELLE PUGH CRNA (NPI 1205166824) is an individual nurse anesthetist, certified registered in Fort Worth, Texas, licensed in Texas (AP118626) and active in the NPI registry since January 2010. She maintains a secondary practice location in Fort Worth and is a graduate of Other (2009).

NPPES Registry Identity

NPI1205166824
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameALYSSA RENELLE PUGHCredential: CRNA
Location Address801 7TH AVEFort Worth, TX 76104-2733
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 4, 2010
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
NPI 1205166824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in TX · AP118626 Licensed in TX · 727877
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

801 7TH AVE, Fort Worth, TX 76104

Secondary Practice Location 1

Location 16100 Harris PkwyFort Worth, TX 76132 · Phone (817) 433-1800

Accepted 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

Alyssa Renelle Pugh Crna 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 ID9739218553
PECOS Enrollment IDI20100603000298

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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.

93.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.15
Improvement Activities40
Cost83.57

Other Providers at the Same Location NPPES 20

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

Anesthesiology
801 7TH AVE
FORT WORTH, TX 76104
Pharmacist
801 7TH AVE
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
801 7TH AVE
FORT WORTH, TX 76104
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE, COOK CHILDRENS, DEPT OF NEONATOLOGY
FORT WORTH, TX 76104
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104
Pediatrics (Neonatal-Perinatal Medicine)
801 7TH AVE
FORT WORTH, TX 76104

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 Alyssa Pugh's NPI number?

The NPI number for Alyssa Pugh is 1205166824. It was assigned to this individual provider in the NPPES registry on January 4, 2010.

Where is Alyssa Pugh located?

Alyssa Pugh practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-4054.

What is Alyssa Pugh's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Alyssa Pugh enrolled in Medicare?

Yes. Alyssa Pugh 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 Alyssa Pugh accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Alyssa 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 Alyssa Pugh was last updated on August 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.