MS. THERESA L DEMATTEO PUGH MS CRNP
NPI 1841390713
Nurse Practitioner - Pediatrics in Nottingham, MD
About Ms. Theresa L Dematteo Pugh Ms Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. THERESA L DEMATTEO PUGH MS CRNP (NPI 1841390713) is an individual pediatrics provider in Nottingham, Maryland, licensed in Maryland (R076644) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Ms. Theresa L Dematteo Pugh Ms Crnp 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 Reassignment
Medicare enrollment records show Theresa Dematteo Pugh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nottingham, MD 21236
- Reassigned Medicare billing, Maryland enrollment
- 952 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NOTTINGHAM, MD 21236
NOTTINGHAM, MD 21236
BALTIMORE, MD 21236
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 Theresa Dematteo Pugh's NPI number?
The NPI number for Theresa Dematteo Pugh is 1841390713. It was assigned to this individual provider in the NPPES registry on September 22, 2006.
Where is Theresa Dematteo Pugh located?
Theresa Dematteo Pugh practices at 4924 Campbell Blvd Suite 200, Nottingham, MD 21236. The listed phone number is (443) 442-2300.
What is Theresa Dematteo Pugh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Theresa Dematteo Pugh enrolled in Medicare?
Yes. Theresa Dematteo Pugh 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 organization bills Medicare for Theresa Dematteo Pugh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Dematteo Pugh reassigns Medicare benefits to Johns Hopkins Community Physicians, Inc (Nottingham, MD). 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 Theresa Dematteo 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 Theresa Dematteo Pugh was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ms. Theresa L Dematteo Pugh, MS CRNP · NPI 1841390713
Pediatrics physician in Nottingham, Maryland. Individual provider, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1841390713 (Entity type: Individual)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** R076644 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4924 CAMPBELL BLVD, SUITE 200, Nottingham, MD 21236-5908
- **Phone:** (443) 442-2300 · **Fax:** (443) 442-2360
## 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:** Johns Hopkins Community Physicians, Inc (NPI 1194546192, Nottingham, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** May 9, 2013
- **Other identifiers:** Medicare UPIN R13077; Medicare ID-Type Unspecified A095; Medicaid 622361300 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1841390713) · Data from the CMS NPPES public registry.