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MRS. LORI GAYLE PRUITT FNP-C
NPI 1316413255
Nurse Practitioner - Family in Kerrville, TX

Active since October 18, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
575 HILL COUNTRY DR, KERRVILLE, TX 78028(830) 258-7762 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lori Gayle Pruitt Fnp-c NPPES

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

MRS. LORI GAYLE PRUITT FNP-C (NPI 1316413255) is an individual family provider in Kerrville, Texas, licensed in Texas (AP1139202) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2018).

NPPES Registry Identity

NPI1316413255
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LORI GAYLE PRUITTCredential: FNP-C
Location Address575 HILL COUNTRY DRKerrville, TX 78028-6024
Mailing Address170 Mackay DrKerrville, TX 78028-8428 · (830) 285-0929
Phone(830) 258-7762
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2018
Enumeration DateOctober 18, 2018
✔ NPI 1316413255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP1139202
Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X · License 664299 (TX)
575 HILL COUNTRY DR, Kerrville, TX 78028
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. Lori Gayle Pruitt Fnp-c 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 ID8123362381
PECOS Enrollment IDI20181129001624
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 7

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.

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.
218 services195 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
107 services107 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
98 services81 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
95 services95 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
74 services74 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78028 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.

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
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

MRS. NIESSA COLLETTE MEIER RN, CNM
Advanced Practice Midwife
575 HILL COUNTRY DR, STE 202
KERRVILLE, TX 78028
Kerr County (830) 258-6237
DR. EDWARD L ERB D.O.
Surgery (Vascular Surgery)
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-7762
JENNA LEE CUMMINGS ACNP
Nurse Practitioner (Acute Care)
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-7762
DR. M ELIZABETH RUIZ WILFONG D.O.
Obstetrics & Gynecology
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-6237
DR. LINDY THADDEUS RACHAL M.D.
Internal Medicine (Gastroenterology)
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-7762
SAMANTHA MARIE PIERCE CNM, WHNP
Advanced Practice Midwife
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-6237
MS. MEGAN DANIELLE HILLIS CNM
Midwife
575 HILL COUNTRY DR
KERRVILLE, TX 78028
Kerr County (830) 258-6237
MRS. LINDSEY NICOLE NEEL FNP-C
Nurse Practitioner
575 HILL COUNTRY DR, SUITE 101
KERRVILLE, TX 78028
Kerr County (830) 258-7762

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 Lori Pruitt's NPI number?

The NPI number for Lori Pruitt is 1316413255. It was assigned to this individual provider in the NPPES registry on October 18, 2018.

Where is Lori Pruitt located?

Lori Pruitt practices at 575 Hill Country Dr, Kerrville, TX 78028. The listed phone number is (830) 258-7762.

What is Lori Pruitt's specialty?

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

Is Lori Pruitt enrolled in Medicare?

Yes. Lori Pruitt 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 Lori Pruitt 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 list Lori Pruitt 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 Lori Pruitt affiliated with any hospitals?

According to CMS data, Lori Pruitt is affiliated with Peterson Regional Medical Center and Hill Country Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lori Pruitt was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.