Chelsie Pugh

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

226255 Issued in LA

Practice address

1500 Line Ave Ste 206
Shreveport, LA 71101-4649

Phone

(318) 235-3393

NPI assigned

Mar 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novus Louisiana Medical Professional CorporationGroup PAC ID 5395194880, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Specialists Hospital Shreveport Hospital, Shreveport, LA, CCN 190278

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Novus Louisiana Medical Professional Corporation

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1336926872

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Medical Center Anesthesiologists

  • Anesthesiology Physician
  • Shreveport, LA
  • NPI 1669469748
  Medicare reassignment NPD

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

• Specialists Hospital Shreveport, LLC

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1912118134
  Care Compare affiliation

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

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1619624053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 DILLINGHAM AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711063303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE STE 206",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014649",
            "telephone_number": "318-235-3393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6245 Dillingham Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711063303",
            "country_code": "US",
            "telephone_number": "318-235-3393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "CHELSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-06",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "226255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew James Puckett, MD
• Anna Puckett, COTA
• Jessie Puckett
• Shiru Pudasaini
• Andrea Markeisha Pugh, MS, LPC
• Jamie Pugh, MA, CCC-SLP
• Luemily Pugh, B.S., LMT
• McKenzie Querbes Pugh, MD
• Mark Darwin Pugh, Sr., RRT, LMT
• Varsha Pujala, MD

• Certified Registered Nurse Anesthetist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.