Jolyn Fergon, N.P., C.N.M

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

NP10593 Issued in CA

Practice address

1100 N Palm Canyon Dr Ste 212
Palm Springs, CA 92262-4426

Phone

(760) 327-7900

Fax

(760) 327-7905

NPI assigned

Aug 29, 2006

Last updated

Jun 19, 2014By 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 4

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23413/brand/1/csg/1/fhir/r4
• Direct secure messaging: jolyn.fergon.1@23413.direct.athenahealth.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.

• Advanced Women's Healthcare, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Palm Desert, CA
  • NPI 1609064435
  Medicare reassignment NPD Authorized official
• Advanced Women's Healthcare, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Palm Springs, CA
  • NPI 1134237993
  NPD Authorized official
• Advanced Women's Healthcare, a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Yucca Valley, CA
  • NPI 1144339953
  NPD Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1104934033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR STE 212",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624426",
            "telephone_number": "760-327-7900",
            "fax_number": "760-327-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N PALM CANYON DR STE 212",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624426",
            "telephone_number": "760-327-7900",
            "fax_number": "760-327-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGON",
        "first_name": "JOLYN",
        "credential": "N.P., C.N.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "NP10593",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1727",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101241",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "ZZZ27958Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101242",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamilet Felix
• Marlo Jameson Felix
• Yasmeen Felix
• Suzanne C. Felson, DPM
• Jaclyn Hope Ferber Calonne, LCSW
• Bruce L Ferguson
• Teri Ann Ferguson, CRNA
• Lisset Carolina Fernandez
• Seanna Fernandez
• Mandy Elizabeth Ferrell, CADC I

• Obstetrics & Gynecology Nurse Practitioner in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Obstetrics & Gynecology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.