KATHLEEN PUGH (CRNP) – Family Nurse Practitioner, NPI 1245736685

KATHLEEN PUGH (CRNP) is a healthcare provider. based in Andalusia, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1-148418 (AL). The NPI Number for KATHLEEN PUGH (CRNP) is 1245736685

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN PUGH (CRNP)
NPI
1245736685
Phone
(334) 222-3555
Address
614 W BYPASS
Enumeration Date
4 April 2018
Last Update Date
4 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347929500
Graduation Year
2018 (8 years ago)
PAC ID
5597003558
Group Practice PAC ID
7517930118
Professional Enrollment ID
I20190218000507
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for KATHLEEN PUGH (CRNP)

  • 614 W BYPASS

    ANDALUSIA, AL 364204731

    Phone: (334) 222-3555

    Fax: (334) 427-9522

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 106 Open Payments records for all available years, with a total value of $2,110.

Total Amount is formed as General ($2,110) + Research ($0) + Ownership ($0) = $2,110.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($201).

Total Amount

$2,110

General + Research + Ownership

Payments

106

Total payment records

General Amount

$2,110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190218000507INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3332$0
View full utilization report →

Insurance plans in this area (ZIP 36420)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517930118View full group profile
NameSpecialtyState
Nurse PractitionerAL
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
H E M A T O L O G Y/ O N C O L O G YMN
H E M A T O L O G Y/ O N C O L O G YCA
Nurse PractitionerAL
Hematology/Oncology, Internal MedicineAL

Reviews

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Frequently asked questions

What is the registry number for KATHLEEN PUGH (CRNP)?
The registry entry for KATHLEEN PUGH (CRNP) shows NPI 1245736685.
Does the public listing show KATHLEEN PUGH (CRNP) as active?
KATHLEEN PUGH (CRNP)'s NPI record reflects an active status in NPPES.
How should patients interpret KATHLEEN PUGH (CRNP)'s specialty?
The extract shows Family Nurse Practitioner for KATHLEEN PUGH (CRNP). Clinical services aligned with this taxonomy classification.
What city is tied to KATHLEEN PUGH (CRNP)?
The directory associates KATHLEEN PUGH (CRNP) with Andalusia, Alabama. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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