KEISHA D PUGH APRN
NPI 1699003137
Nurse Practitioner in Jacksonville, FL

Q: What is Keisha Pugh's NPI number?

The NPI number for Keisha Pugh is 1699003137. It was assigned to this individual provider in the NPPES registry on November 20, 2009. The provider is also known as Keisha Pittman Rn.

Q: What is Keisha Pugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Keisha Pugh was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 20, 2009PECOS Enrolled

800 PRUDENTIAL DR STE 1100, JACKSONVILLE, FL 32207(904) 388-6518(904) 384-1005 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2022, Jun 4, 2021 (2 updates tracked since 2021).

On this page

About Keisha D Pugh Aprn NPPES

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

KEISHA D PUGH APRN (NPI 1699003137) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN9194377) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1699003137

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKEISHA D PUGHCredential: APRN

Location Address800 PRUDENTIAL DR STE 1100Jacksonville, FL 32207-8202

Mailing Address800 Prudential Dr Fl B11Jacksonville, FL 32207-8202 · (904) 388-6518 · Fax (904) 384-1005

Phone(904) 388-6518

Fax(904) 384-1005

Sole ProprietorNo

Enumeration DateNovember 20, 2009

Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2022

✔ NPI 1699003137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN9194377

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

800 PRUDENTIAL DR STE 1100, Jacksonville, FL 32207

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Other Names 1

Former Name (1)Keisha Pittman Rn

Secondary Practice Location 1

Location 12401 Monument RdJacksonville, FL 32225-2520 · Phone (904) 642-0337

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keisha D Pugh Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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 7

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

MR. TIMOTHY JAMES GARRAHY APRN

Nurse Practitioner