MRS. KAREN Y PUGMIRE APRN
NPI 1881852416
Nurse Practitioner - Family in Atlanta, GA

Active since May 30, 2008PECOS EnrolledAccepts Medicare Assignment
91.6/100
CMS Quality Rating
303 PARKWAY DR, ATLANTA, GA 30312(404) 265-4198 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Karen Y Pugmire Aprn NPPES

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

MRS. KAREN Y PUGMIRE APRN (NPI 1881852416) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN097978) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1881852416
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAREN Y PUGMIRECredential: APRN
Location Address303 PARKWAY DRAtlanta, GA 30312
Mailing Address3697 Grahamridge CtSnellville, GA 30039 · (404) 441-4723
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 30, 2008
Last NPPES UpdateSeptember 11, 2008
NPI 1881852416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN097978
303 PARKWAY DR, Atlanta, GA 30312

Other Names 1

Former Name (1)Mrs. Karen Y Petersen Aprn

Accepted 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

Mrs. Karen Y Pugmire Aprn 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 ID1153552708
PECOS Enrollment IDI20150605001250
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 2

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.
150 services83 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30312 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

91.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability100
Improvement Activities40
Cost73

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 Karen Pugmire's NPI number?

The NPI number for Karen Pugmire is 1881852416. It was assigned to this individual provider in the NPPES registry on May 30, 2008. The provider is also known as Mrs. Karen Y Petersen Aprn.

Where is Karen Pugmire located?

Karen Pugmire practices at 303 Parkway Dr, Atlanta, GA 30312. The listed phone number is (404) 265-4198.

What is Karen Pugmire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Karen Pugmire enrolled in Medicare?

Yes. Karen Pugmire 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 Karen Pugmire accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Karen Pugmire 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 Karen Pugmire affiliated with any hospitals?

According to CMS data, Karen Pugmire is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karen Pugmire was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.