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NANCY SEMAN LOUGH RN-ACNP
NPI 1538318969
Nurse Practitioner - Acute Care in New Braunfels, TX

Active since September 10, 2008PECOS EnrolledAccepts Medicare Assignment
26.41/100
CMS Quality Rating
29924 FM 3009, NEW BRAUNFELS, TX 78132(830) 620-0330(833) 658-1505 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2025, Jan 14, 2021 (2 updates tracked since 2021).

About Nancy Seman Lough Rn-acnp NPPES

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

NANCY SEMAN LOUGH RN-ACNP (NPI 1538318969) is an individual acute care provider in New Braunfels, Texas, licensed in Texas (522543) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Resolute Health Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1538318969
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameNANCY SEMAN LOUGHCredential: RN-ACNP
Location Address29924 FM 3009New Braunfels, TX 78132-2637
Mailing AddressPo Box 310682, Suite 200New Braunfels, TX 78131-0682 · (830) 620-0330 · Fax (830) 620-5405
Phone(830) 620-0330
Fax(833) 658-1505
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 10, 2008
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1538318969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 522543
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 522543 (TX)
29924 FM 3009, New Braunfels, TX 78132
Open in Google Maps ↗

Other Identifiers 1

Medicaid203061101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company.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

Nancy Seman Lough Rn-acnp 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 ID2668520834
PECOS Enrollment IDI20090427000420
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670098
Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78132 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.

26.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality23.03
Promoting Interoperability0
Improvement Activities0
Cost41.72

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.

INPATIENT MEDICINE PHYSICIANS PA
Hospitalist
29924 FM 3009
NEW BRAUNFELS, TX 78132
Comal County (830) 620-0330
DR. PRIMO ABEL MAYHUA M.D.
Internal Medicine
29924 FM 3009
NEW BRAUNFELS, TX 78132
Comal County (830) 620-0330
LONE STAR EXTENSIVISTS PLLC
Internal Medicine
29924 FM 3009
NEW BRAUNFELS, TX 78132
Comal County (830) 620-0330
GUIDO CALDERON MD
Internal Medicine
29924 FM 3009
NEW BRAUNFELS, TX 78132
Comal County (830) 620-0330
DR. JAIME ALBERTO DIAZ MD
Internal Medicine
29924 FM 3009
NEW BRAUNFELS, TX 78132
Comal County (830) 620-0330
DR. FRANSISCO HERNANDEZ JR. M.D.
Family Medicine
29924 FM 3009
NEW BRAUNFELS, TX 78132
Comal County (830) 620-0330

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 Nancy Lough's NPI number?

The NPI number for Nancy Lough is 1538318969. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Where is Nancy Lough located?

Nancy Lough practices at 29924 Fm 3009, New Braunfels, TX 78132. The listed phone number is (830) 620-0330.

What is Nancy Lough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nancy Lough enrolled in Medicare?

Yes. Nancy Lough 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 Nancy Lough accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Nancy Lough 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 Nancy Lough affiliated with any hospitals?

According to CMS data, Nancy Lough is affiliated with Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Lough was last updated on June 18, 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.