Individual provider Active NPI

Aubrey Pugh, CRNP

  • Family Nurse Practitioner
  • Fairhope, AL
National Provider Identifier
1760924211
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-133890 Issued in AL
Practice address
202 Rock Creek Pkwy
Fairhope, AL 36532-3349
Phone
(251) 928-3844
Fax
(251) 928-3353
NPI assigned
Nov 15, 2016
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-133890 AL Primary

Addresses

Primary practice location

202 Rock Creek Pkwy
Fairhope, AL 36532-3349

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

200 Rock Creek Pkwy
Fairhope, AL 36532-3349
Phone (251) 928-3844

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Aubrey.Pugh@forefrontdermatology.emadirect.md
Direct Messaging Address Aubrey.Pugh@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20161213000744 AL Practitioner - Nurse Practitioner 0143500975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

202 Rock Creek Pkwy
Fairhope, AL 36532-3349
Phone (251) 928-3844

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-133890ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Oct 1, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jan 1, 2017 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Oct 1, 2021 Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

200 Rock Creek Pkwy
Fairhope, AL 36532
Phone (251) 928-3844

202 Rock Creek Pkwy
Fairhope, AL 36532
Phone (251) 928-3844

580 Providence Park Dr E
Mobile, AL 36695
Phone (251) 631-3570

580 Providence Park Dr E
Fl 2
Mobile, AL 36695
Phone (251) 631-3570

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

Interoperability endpoints

  • Direct secure messaging: aubrey.pugh@forefrontdermatology.emadirect.md

Organizations & group practices 5

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1760924211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ROCK CREEK PKWY",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323349",
            "telephone_number": "251-928-3844",
            "fax_number": "251-928-3353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Rock Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365323349",
            "country_code": "US",
            "telephone_number": "251-928-3844",
            "fax_number": "251-928-3353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "AUBREY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-133890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Aubrey.Pugh@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "200 Rock Creek Pkwy",
            "city": "Fairhope",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365323349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Aubrey.Pugh@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "202 Rock Creek Pkwy",
            "city": "Fairhope",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365323349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.