KATHRYN ELIZABETH PUGH (ACNPC-AG) – Acute Care Nurse Practitioner, NPI 1124763602

KATHRYN ELIZABETH PUGH (ACNPC-AG) is a healthcare provider. based in Collegeville, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNPC-AG. They hold a License No. L1-0069705 (DE). The NPI Number for KATHRYN ELIZABETH PUGH (ACNPC-AG) is 1124763602

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYN ELIZABETH PUGH (ACNPC-AG)
NPI
1124763602
Phone
Not provided
Address
156 PARK AVE
Enumeration Date
29 April 2022
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026453525
Graduation Year
2022 (4 years ago)
PAC ID
7719352228
Group Practice PAC ID
5496744864
Professional Enrollment ID
I20230417000286
Address ID
DE199581462LE424XXRDXX300

Contacts

Secure Messaging
kjacobson@beebehealthcare.org
Secure Messaging
kathryn.jacobson@tuhs.temple.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness95
Years active:4State licenses:2Other names

1,274 NURSE PRACTITIONER in DE

Provider Addresses for KATHRYN ELIZABETH PUGH (ACNPC-AG)

  • 156 PARK AVE

    COLLEGEVILLE, PA 194262620

    Phone:

    Type: Mailing

  • 424 SAVANNAH RD

    LEWES, DE 199581462

    Phone: (302) 645-3525

    Fax: (302) 645-3513

    Type: Location

  • 1515 SAVANNAH RD FL 2

    LEWES, DE 199581675

    Phone: (302) 645-3499

    Fax: (302) 644-4830

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-04-17

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
I20230417000286INurse PractitionerDETBD

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
36620Insertion of artery tube for blood sampling or infusion through skin1716$0
View full utilization report →

Insurance plans in this area (ZIP 19426)

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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: 5496744864View full group profile
NameSpecialtyState
Family PracticeNY
-PA
Internal MedicineDE
-DE
-DE
Internal MedicineDE
Internal MedicineDE
Infectious Disease, Internal MedicineDE
Family PracticeNY
Nurse PractitionerVA

Reviews

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Frequently asked questions

Is there an official ID for KATHRYN ELIZABETH PUGH (ACNPC-AG) in U.S. healthcare records?
The official identifier for KATHRYN ELIZABETH PUGH (ACNPC-AG) is NPI 1124763602.
Would KATHRYN ELIZABETH PUGH (ACNPC-AG) appear as active to a payer?
You can treat KATHRYN ELIZABETH PUGH (ACNPC-AG) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KATHRYN ELIZABETH PUGH (ACNPC-AG)?
KATHRYN ELIZABETH PUGH (ACNPC-AG) is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is KATHRYN ELIZABETH PUGH (ACNPC-AG) registered?
Use Collegeville, Pennsylvania as the headline location for KATHRYN ELIZABETH PUGH (ACNPC-AG) here.
Can I trust this NPI listing for KATHRYN ELIZABETH PUGH (ACNPC-AG)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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