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DENISA SAVANNAH PUCKETT MD
NPI 1508569401
Family Medicine in Boone, NC

Active since March 22, 2023PECOS Enrolled
148 NC-105 EXTENSION, SUITE 102, BOONE, NC 26807(828) 262-4100 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2025, Mar 22, 2023 (2 updates tracked since 2023).

About Denisa Savannah Puckett Md NPPES

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

DENISA SAVANNAH PUCKETT MD (NPI 1508569401) is an individual family medicine provider in Boone, North Carolina, licensed in North Carolina (2025-00902) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Florida State University College Of Medicine (2023).

NPPES Registry Identity

NPI1508569401
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDENISA SAVANNAH PUCKETTCredential: MD
Location Address148 NC-105 EXTENSION, SUITE 102Boone, NC 26807
Mailing Address148 Nc-105 Extension, Suite 102Boone, NC 26807
Phone(828) 262-4100
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2023
Enumeration DateMarch 22, 2023
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1508569401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2025-00902
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
148 NC-105 EXTENSION, SUITE 102, Boone, NC 26807
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denisa Savannah Puckett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850751165
PECOS Enrollment IDI20250821003266
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26807 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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 Denisa Puckett's NPI number?

The NPI number for Denisa Puckett is 1508569401. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Denisa Puckett located?

Denisa Puckett practices at 148 Nc-105 Extension, Suite 102, Boone, NC 26807. The listed phone number is (828) 262-4100.

What is Denisa Puckett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Denisa Puckett enrolled in Medicare?

Yes. Denisa Puckett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Denisa Puckett was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.