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KATHLEEN PUGH CRNP
NPI 1245736685
Nurse Practitioner - Family in Andalusia, AL

Active since April 04, 2018PECOS Enrolled
100/100
CMS Quality Rating
614 W BYPASS, ANDALUSIA, AL 36420(334) 222-3555(334) 427-9522 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Pugh Crnp NPPES

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

KATHLEEN PUGH CRNP (NPI 1245736685) is an individual family provider in Andalusia, Alabama, licensed in Alabama (1-148418) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245736685
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN PUGHCredential: CRNP
Location Address614 W BYPASSAndalusia, AL 36420-4731
Mailing Address614 W BypassAndalusia, AL 36420-4731 · (334) 222-3555 · Fax (334) 427-9522
Phone(334) 222-3555
Fax(334) 427-9522
Sole ProprietorNo
Enumeration DateApril 4, 2018
✔ NPI 1245736685 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 AL · 1-148418
614 W BYPASS, Andalusia, AL 36420
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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)

Kathleen Pugh Crnp 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36420 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.24
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

COVINGTON PEDIATRICS PA
Pediatrics
614 W BYPASS
ANDALUSIA, AL 36420
Covington County (334) 222-3555
DOMINIQUE SPRANGER
Social Worker (Clinical)
614 W BYPASS
ANDALUSIA, AL 36420
Covington County (334) 222-3555
JACQUELINE HOPE VEASEY
Nurse Practitioner (Family)
614 W BYPASS
ANDALUSIA, AL 36420
Covington County (334) 222-0119
COVINGTON PEDIATRICS PA
Pediatrics
614 W BYPASS
ANDALUSIA, AL 36420
Covington County (334) 222-0119
CHARLES E ELDRIDGE MD
Pediatrics (Adolescent Medicine)
614 W BYPASS
ANDALUSIA, AL 36420
Covington County (334) 222-3555
STEPHANIE FISHER MSW
Social Worker
614 W BYPASS
ANDALUSIA, AL 36420
Covington County (334) 222-3555

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 1245736685. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Kathleen Pugh located?

Kathleen Pugh practices at 614 W Bypass, Andalusia, AL 36420. The listed phone number is (334) 222-3555.

What is Kathleen Pugh's specialty?

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

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 Blue Cross and Blue Shield of Alabama 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 April 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.