DENISA SAVANNAH PUCKETT MD
NPI 1508569401
Family Medicine in Boone, NC
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, is affiliated with Watauga Medical Center, and is a graduate of Florida State University College Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Denisa Savannah Puckett Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Denisa Puckett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boone, NC 28607
- Reassigned Medicare billing, North Carolina enrollment
- 129 clinicians in this Medicare group
Linville, NC 28646
- Reassigned Medicare billing, North Carolina enrollment
- 54 clinicians in this Medicare group
Jefferson, NC 28640
- Reassigned Medicare billing, North Carolina enrollment
- 61 clinicians in this Medicare group
Elkin, NC 28621
- Reassigned Medicare billing, North Carolina enrollment
- 96 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Watauga Medical Center
Acute Care Hospitals · Boone, NCAshe Memorial Hospital
Critical Access Hospitals · Jefferson, NCPhysician 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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Denisa Puckett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Denisa Puckett reassigns Medicare benefits to 4 organizations: Watauga Medical Center Inc (Boone, NC), Charles A. Cannon, Jr. Memorial Hospital, Inc. (Linville, NC), Jefferson Emergency Services, PLLC (Jefferson, NC) and Yadkin Emergency Physicians, PLLC (Elkin, NC). Each 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 Denisa Puckett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Denisa Puckett affiliated with any hospitals?
According to CMS data, Denisa Puckett is affiliated with Watauga Medical Center and Ashe Memorial Hospital.
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 14 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.
# Denisa Savannah Puckett, MD · NPI 1508569401
Family Medicine physician in Boone, North Carolina. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1508569401 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2025-00902 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 148 NC-105 EXTENSION, SUITE 102, Boone, NC 26807
- **Phone:** (828) 262-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Watauga Medical Center Inc (NPI 1205859766, Boone, NC); Charles A. Cannon, Jr. Memorial Hospital, Inc. (NPI 1477006385, Linville, NC); Jefferson Emergency Services, PLLC (NPI 1720495336, Jefferson, NC); Yadkin Emergency Physicians, PLLC (NPI 1417443771, Elkin, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Florida State University College Of Medicine, class of 2023
## Record status
- **NPPES last updated:** August 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508569401) · Data from the CMS NPPES public registry.