Jennifer M. Fergestad, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35248 Issued in AZ

Practice address

1850 N Central Ave
Suite 1600
Phoenix, AZ 85004-3284

Phone

(602) 744-4765

Fax

(602) 744-4799

NPI assigned

Apr 21, 2006

Last updated

Sep 27, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Pain Management

Education

University of Utah School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Secure Anesthesia PLLCGroup PAC ID 2365402690, 10 clinicians

Grand Canyon Anesthesia LLCGroup PAC ID 3678824752, 50 clinicians

Valley Anesthesiology Consultants IncGroup PAC ID 4880591841, 284 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

Merit-based Incentive Payment System (MIPS)

Final score

85.65 of 100Reported as group

Quality

76.23

Promoting interoperability

100

Improvement activities

40

Cost

75.95

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfergestad268348@cityofhope.direct-ci.com

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.

• Grand Canyon Anesthesia LLC

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1356822902
  Medicare reassignment Care Compare group NPD
• Valley Anesthesiology Consultants, Inc.

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1285660704
  Medicare reassignment Care Compare group NPD
• Secure Anesthesia PLLC

  • Specialist
  • Tempe, AZ
  • NPI 1720113145
  Medicare reassignment Care Compare group
• Center for Orthopedic Research and Education, LLC

  dba The CORE Institute

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1427095801

  Interventional Pain Medicine

  Medicare reassignment NPD
• Camelback Anesthesia PLLC

  dba Camelback Pain Consultants

  • Pain Medicine (Anesthesiology) Physician
  • Tempe, AZ
  • NPI 1831560176
  Medicare reassignment
• Center for Orthopedic Research and Education LLC

  dba The Core Institute

  • Durable Medical Equipment & Medical Supplies
  • Flagstaff, AZ
  • NPI 1063251056
  NPD
• Center for Orthopedic Research and Educatoin

  dba The CORE Institute

  • Physical Therapist
  • Mesa, AZ
  • NPI 1275967408
  NPD

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

• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  Care Compare affiliation

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1043276777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N CENTRAL AVE",
            "address_2": "SUITE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044527",
            "telephone_number": "602-744-4765",
            "fax_number": "602-744-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N CENTRAL AVE",
            "address_2": "SUITE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850043284",
            "telephone_number": "602-744-4765",
            "fax_number": "602-744-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGESTAD",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "44874",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "35248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154760",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rayn Fenty, CLT
• Gregory J Fenzl, D.O.
• Fep NCCH
• Melissa Robin Ferber, OTR/L
• Andrea Ference
• Christina Fergus, PHARMD, BCPS, CDE
• Ferguson Family Touch LLC
• Amanda L Ferguson, MT-BC, NMT
• Andrew Liam Ferguson, M.S.
• Anne Yvonne Ferguson, PA-C

• Anesthesiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.