Individual provider Active NPI

Kathleen Pugh, NP

  • Adult Health Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1164978581
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
7281-33 Issued in WI
Practice address
20800 Swenson Dr Ste 175
Waukesha, WI 53186-4000
Phone
(262) 785-0777
Fax
(262) 785-8029
NPI assigned
Aug 26, 2016
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 7281-33 WI Primary
Registered Nurse 163W00000X 180033-30 WI

Addresses

Primary practice location

20800 Swenson Dr Ste 175
Waukesha, WI 53186-4000

Mailing address

20800 Swenson Dr Ste 175
Waukesha, WI 53186-4000
Phone (262) 785-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20161010000385 WI Practitioner - Nurse Practitioner 1658669551 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180033-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West Suburban Ctr for Arthritis Single Specialty CurrentSince Feb 2, 2026 Accepting new patients
Integrative Medical and Wellness, LLC Single Specialty Past Accepting new patients
West Suburban Ctr for Arthritis PastSince Feb 2, 2026 Accepting new patients

Locations

20800 Swenson Dr
Ste 175
Waukesha, WI 53186
Phone (262) 785-0777

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1164978581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 SWENSON DR STE 175",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864000",
            "telephone_number": "262-785-0777",
            "fax_number": "262-785-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 SWENSON DR STE 175",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864000",
            "telephone_number": "262-785-0777",
            "fax_number": "262-785-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "7281-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "180033-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.