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MARY JACQUELINE PUGH ARNP
NPI 1407174204
Nurse Practitioner - Family in Pinellas Park, FL

Active since May 04, 2010PECOS Enrolled
7800 66TH ST N STE 206, PINELLAS PARK, FL 33781(727) 541-0323 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2025, Mar 18, 2016 (2 updates tracked since 2016).

About Mary Jacqueline Pugh Arnp NPPES

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

MARY JACQUELINE PUGH ARNP (NPI 1407174204) is an individual family provider in Pinellas Park, Florida, licensed in Florida (1940192) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407174204
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY JACQUELINE PUGHCredential: ARNP
Location Address7800 66TH ST N STE 206Pinellas Park, FL 33781-2101
Mailing Address12855 Gorda Cir WLargo, FL 33773-1712 · (727) 510-2564
Phone(727) 541-0323
Sole ProprietorNo
Enumeration DateMay 4, 2010
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1407174204 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 FL · 1940192
7800 66TH ST N STE 206, Pinellas Park, FL 33781
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Jacqueline Pugh Arnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Pugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anderson Primary Care PLLC
Same address
Adult Medicine
7800 66TH ST N STE 206
Pinellas Park, FL 33781
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1881538403 (727) 300-0063

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33781 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 5

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

ANDERSON PRIMARY CARE ASSOCIATES, PLLC
Family Medicine (Adult Medicine)
7800 66TH ST N STE 206
PINELLAS PARK, FL 33781
Pinellas County (727) 541-0323
KIM BARTHOLOMEW POWERS DO
Family Medicine
7800 66TH ST N STE 206
PINELLAS PARK, FL 33781
Pinellas County (727) 541-0323
KIM B. POWERS, D.O., P.A.
Family Medicine (Adult Medicine)
7800 66TH ST N STE 206
PINELLAS PARK, FL 33781
Pinellas County (727) 541-0323
TY RESO ANDERSON D.O.
Family Medicine
7800 66TH ST N STE 206
PINELLAS PARK, FL 33781
Pinellas County (727) 541-0323
ANDERSON PRIMARY CARE PLLC
Family Medicine (Adult Medicine)
7800 66TH ST N STE 206
PINELLAS PARK, FL 33781
Pinellas County (727) 300-0063

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 Mary Pugh's NPI number?

The NPI number for Mary Pugh is 1407174204. It was assigned to this individual provider in the NPPES registry on May 4, 2010.

Where is Mary Pugh located?

Mary Pugh practices at 7800 66th St N Ste 206, Pinellas Park, FL 33781. The listed phone number is (727) 541-0323.

What is Mary Pugh's specialty?

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

Is Mary Pugh enrolled in Medicare?

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

Which organization bills Medicare for Mary Pugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Pugh reassigns Medicare benefits to Anderson Primary Care PLLC (Pinellas Park, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Pugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Pugh was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.