Individual provider Active NPI

Michelle Lynn Ferguson

  • Family Nurse Practitioner
  • Richmond, KY
National Provider Identifier
1013654821
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017462 Issued in KY
Practice address
1018 Ival James Blvd Ste C
Richmond, KY 40475-8281
Phone
(859) 575-1323
NPI assigned
May 13, 2022
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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 3017462 KY Primary

Addresses

Primary practice location

1018 Ival James Blvd Ste C
Richmond, KY 40475-8281

Mailing address

1018 Ival James Blvd Ste C
Richmond, KY 40475-8281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251211003526 KY Practitioner - Nurse Practitioner 8123512654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4810 B Spicewood Springs Rd
Austin, TX 78759-8740

5001 Spring Valley Rd 600
Dallas, TX 75244-3972

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3017462KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Lviii, LLC CurrentSince Oct 9, 2025 Accepting new patients
BHG Lviii, LLC CurrentSince Oct 9, 2025 Accepting new patients
Center for Behavioral Health Kentucky LLC PastSince Jan 22, 2023 Accepting new patients

Locations

1000 Ace Dr
Rm 100
Berea, KY 40403
Phone (859) 756-5006

5001 Spring Vly
Ste 600E
Dallas, TX 75244

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": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1013654821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 IVAL JAMES BLVD STE C",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 IVAL JAMES BLVD STE C",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758281",
            "telephone_number": "859-575-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.