Megan Hattie Pugh, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MED-PAC-LIC-102686 Issued in MT

Practice address

1208 6TH Ave
Superior, MT 59872-9667

Phone

(406) 822-4841

NPI assigned

Feb 1, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Missoula Community Health Services, Inc.

  • Family Medicine Physician
  • Saint Regis, MT
  • NPI 1225836554
  Medicare reassignment NPD
• Missoula Community Health Services, Inc.

  • Critical Access Hospital
  • Superior, MT
  • NPI 1902990005
  Medicare reassignment NPD
• Missoula Community Health Services, Inc

  • General Practice Physician
  • Superior, MT
  • NPI 1710165105
  Medicare reassignment
• Missoula Community Health Services, Inc

  • Multi-Specialty Clinic/Center
  • Superior, MT
  • NPI 1073080461
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1073266805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 COMFORT LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189139",
            "telephone_number": "406-599-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 6TH AVE",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598729667",
            "telephone_number": "406-822-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "MEGAN",
        "middle_name": "HATTIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-102686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missoula Community Health Services, Inc.
• Missoula Community Health Services, Inc.
• Missoula Community Health Services, Inc.
• Ernesto E. Ornelas, FNP
• Providence Health & Services Mt
• Stephanie Quick, LCSW
• April Ann Quinlan, LCPC
• Brenda KH Reynolds, NCMT, CMT, LMT
• Nancy M Smith, MSW, LCSW, LAC
• Victor Labarre Stampley, LCSW

• Physician Assistant in Superior, MT
• Providers in Superior, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.