Individual provider Active NPI

Michel C Ferguson, CNP

  • Family Nurse Practitioner
  • Greenville, OH
National Provider Identifier
1073851739
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
331067 Issued in OH
Practice address
5735 Meeker Rd
Greenville, OH 45331-1180
Phone
(937) 548-3806
Fax
(937) 548-3552
NPI assigned
Jan 30, 2013
Last updated
Mar 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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 331067 OH Primary

Addresses

Primary practice location

5735 Meeker Rd
Greenville, OH 45331-1180

Mailing address

5735 Meeker Rd
Greenville, OH 45331-1180
Phone (937) 548-3806

Other identifiers 1

IdentifierTypeStateIssuer
0094397MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20131209001196 OH Practitioner - Nurse Practitioner 6901033455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

702 N Main St
Arcanum, OH 45304-1421
Phone (937) 692-6601

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331067OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services of Darke County Inc Current Accepting new patients
Family Health Services of Darke County, Inc. CurrentSince Mar 7, 2015 Accepting new patients
Family Health Services of Darke County, Inc. CurrentSince Mar 7, 2015 Accepting new patients
Family Health Services of Darke County Inc Past Accepting new patients

Locations

702 N Main St
Arcanum, OH 45304
Phone (937) 548-1141

1101 Jackson St
Ste C
Greenville, OH 45331
Phone (937) 547-2319

5735 Meeker Rd
Greenville, OH 45331
Phone (937) 548-3806

101 Anderson St
New Madison, OH 45346
Phone (937) 548-3806

10484 Kley Rd
Versailles, OH 45380
Phone (937) 526-3016

10484 Kley Rd
Ste B
Versailles, OH 45380
Phone (937) 526-3016

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1073851739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 MEEKER RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311180",
            "telephone_number": "937-548-3806",
            "fax_number": "937-548-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 MEEKER RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311180",
            "telephone_number": "937-548-3806",
            "fax_number": "937-548-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "MICHEL",
        "middle_name": "C",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "331067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094397",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.