PAMELA DENISE DUGAN CRNA
NPI 1851396568
Nurse Anesthetist, Certified Registered in Louisville, KY

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
86.32/100
CMS Quality Rating
4000 KRESGE WAY, LOUISVILLE, KY 40207(502) 473-2132(502) 459-0923 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pamela Denise Dugan Crna NPPES

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

PAMELA DENISE DUGAN CRNA (NPI 1851396568) is an individual nurse anesthetist, certified registered in Louisville, Kentucky, licensed in Kentucky (3001944) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1851396568
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NamePAMELA DENISE DUGANCredential: CRNA
Location Address4000 KRESGE WAYLouisville, KY 40207-4605
Mailing AddressPo Box 70354Louisville, KY 40270-0354 · (502) 473-2132 · Fax (502) 459-0923
Fax(502) 459-0923
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 17, 2005
Last NPPES UpdateNovember 30, 2015
✔ NPI 1851396568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KY · 3001944
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 1056347 (KY)
4000 KRESGE WAY, Louisville, KY 40207

Other Identifiers 2

Medicaid74440827KY
Medicare PIN1276682KY

Accepted Insurance

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

Pamela Denise Dugan Crna 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 ID7315912458
PECOS Enrollment IDI20040831001558
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.

Medicare Billing Reassignment

Medicare enrollment records show Pamela Dugan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
1 AUDUBON PLAZA DR
Louisville, KY 40217
  • Reassigned Medicare billing, Kentucky enrollment
  • 175 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.

Areas of Expertise CMS Part B claims

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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

86.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.91
Improvement Activities40

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.

Physician Assistant
4000 KRESGE WAY
LOUISVILLE, KY 40207
Nurse Anesthetist, Certified Registered
4000 KRESGE WAY
LOUISVILLE, KY 40207
Nurse Anesthetist, Certified Registered
4000 KRESGE WAY
LOUISVILLE, KY 40207
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Pathology (Anatomic Pathology & Clinical Pathology)
4000 KRESGE WAY, PATHOLOGY DEPT
LOUISVILLE, KY 40207
Nurse Practitioner (Acute Care)
4000 KRESGE WAY
LOUISVILLE, KY 40207
Physician Assistant
4000 KRESGE WAY
LOUISVILLE, KY 40207
Internal Medicine
4000 KRESGE WAY, BAPTIST EAST WOUND CARE CENTER
LOUISVILLE, KY 40207

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 Pamela Dugan's NPI number?

The NPI number for Pamela Dugan is 1851396568. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Pamela Dugan located?

Pamela Dugan practices at 4000 Kresge Way, Louisville, KY 40207. The listed phone number is (502) 473-2132.

What is Pamela Dugan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Pamela Dugan enrolled in Medicare?

Yes. Pamela Dugan 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 Pamela Dugan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Dugan reassigns Medicare benefits to Anesthesiology Consultants Enterprises, PLLC (Louisville, KY). 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 Pamela Dugan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pamela Dugan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Pamela Dugan 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 Pamela Dugan affiliated with any hospitals?

According to CMS data, Pamela Dugan is affiliated with Norton Hospitals, Inc and Baptist Health Louisville.

When was this NPI record last updated?

The NPPES record for Pamela Dugan was last updated on November 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.