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Active NPI 1689816563 Individual Practitioner Female Practitioner

Brandy Pugmire , PN

Licensed Practical Nurse • Fort Hall, ID

Professional Overview & Biography Verified Profile Summary

Brandy Pugmire, PN is a registered healthcare professional specializing in Licensed Practical Nurse in Fort Hall, ID. Practice services are available at 717 MISSION RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

717 Mission Rd

Fort Hall, ID 832030717

Telephone 2082382400
Fax 2082385462
Associated Practice Facility / Clinic
🏢 Shoshone Bannock Tribes, Inc Facility NPI 1801949763

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fort Hall, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Fort Hall, ID (93 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License ID PN 14030

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003399100 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Drew Burrell , LSW

Behavior Analyst

NPI 1043541543

Licensed Social Worker

Erin Brownley

Nutritionist

NPI 1073754677
Angela Clarke , PN

Licensed Practical Nurse

NPI 1073768669
Kristina Kniffen , PN-

Licensed Practical Nurse

NPI 1225369820

PN

Garth Brown , RN

Registered Nurse

NPI 1285876938

Registered Nurse

Sandra Ortiz , ICADC

Counselor - Addiction (Substance Use Disorder)

NPI 1396909024

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 24, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2009

Registered at 717 MISSION RD, FORT HALL, ID 832030717 (Tel: 2082382400)

📍
Updated Business Mailing Address March 24, 2009

Registered at PO BOX 306, FORT HALL, ID 832030306 (Tel: 2082382400)

👤
Provider Name / Credentials Updated March 24, 2009

Recorded as BRANDY PUGMIRE, PN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2009

Licensed Practical Nurse (License #PN 14030 in ID)

🟢
Initial NPI Registration & Enumeration March 24, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689816563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2009
Last Update: March 24, 2009
Sole Proprietor: No

Mailing Address

Po Box 306

Fort Hall, ID 832030306

Phone: 2082382400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.