Nancy Carol Grass-Ferguson, N.P.
Individual provider Active NPI Nurse Practitioner · Alexandria, LA
NPI 1023074671 · NPPES record last updated Oct 29, 2019
Key facts
- NPI
- 1023074671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN042281 AP01440 (LA)
- Practice address
- 44 Versailles Blvd
Alexandria, LA 71303-3960 - Phone
- (318) 201-5307
- Fax
- (318) 484-4800
- NPI assigned
- Apr 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110224000758 | LA | Practitioner - Nurse Practitioner | 3577744424 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN042281 AP01440 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexandria Healthcare Consultants, LLC | Current |
Accepting new patients | |
| Cenla Family Medical Center, LLC | Past | Accepting new patients |
Locations
44 Versailles Blvd
Alexandria, LA 71303
Phone (318) 441-0068
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN042281 AP01440 | LA | Yes |
Addresses
Primary practice location
44 Versailles Blvd
Alexandria, LA 71303-3960
Mailing address
PO Box 12248
Alexandria, LA 71315-2248
Phone (318) 880-8828
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1673528 | Medicaid | LA |
Other providers in Alexandria, LA
- Laurel Joseph Gralapp
- Lillian Gralapp
- Jasmine Brianne Grandpre
- Tommie Mack Granger
- Grant Community Home
- Chantasia D Grasty
- Alfred Gravel
- Courtnie Clark Graves
- Vanessa Wilson Graves
- Wylea Marie Gray-Winfrey
All providers in Alexandria, LA · Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.