Individual provider Active NPI

Kristen L Pugh, NP

  • Nurse Practitioner
  • Lancing, TN
National Provider Identifier
1083335996
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
32361 Issued in TN
Practice address
320 Clear Creek Rd
Lancing, TN 37770-2622
Phone
(865) 776-8836
NPI assigned
Sep 8, 2022
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 32361 TN Primary

Addresses

Primary practice location

320 Clear Creek Rd
Lancing, TN 37770-2622

Mailing address

320 Clear Creek Rd
Lancing, TN 37770-2622
Phone (865) 776-8836

Other practice location 1

100 Lantana Rd Ste 202
Crossville, TN 38555-1903
Phone (931) 484-5141

Other identifiers 1

IdentifierTypeStateIssuer
Q077419MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20220921002522 TN Practitioner - Nurse Practitioner 9931584323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

665 N Main St
Crossville, TN 38555-6206
Phone (931) 337-0510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
81.99
Promoting interoperability
100
Improvement activities
40
Cost
70.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32361TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 4, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 4, 2024 Accepting new patients

Locations

665 N Main St
Crossville, TN 38555
Phone (931) 337-0510

Interoperability endpoints

  • Direct secure messaging: kristen.pugh.p1@direct.orthotn.nextgenshare.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1083335996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CLEAR CREEK RD",
            "city": "LANCING",
            "state": "TN",
            "postal_code": "377702622",
            "telephone_number": "865-776-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CLEAR CREEK RD",
            "city": "LANCING",
            "state": "TN",
            "postal_code": "377702622",
            "telephone_number": "865-776-8836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Lantana Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385551903",
            "country_code": "US",
            "telephone_number": "931-484-5141",
            "fax_number": "865-374-2074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "32361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q077419",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancing, TN

Sources for this page

Verify at the official NPI Registry.