Individual provider Active NPI

Maki M Ferguson

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1225839715
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038099 Issued in FL
Practice address
546 Manatee Bay Dr
Boynton Beach, FL 33435-2801
Phone
(561) 405-8455
NPI assigned
Mar 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11038099 FL
Family Nurse Practitioner 363LF0000X APRN11038099 FL Primary

Addresses

Primary practice location

546 Manatee Bay Dr
Boynton Beach, FL 33435-2801

Mailing address

546 Manatee Bay Dr
Boynton Beach, FL 33435-2801
Phone (561) 445-5667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250615000024 FL Practitioner - Nurse Practitioner 8921519281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

546 Manatee Bay Dr
Boynton Beach, FL 33435-2801
Phone (561) 405-8455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11038099FLMDFamily Nurse Practitioner
11038099FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum CV PLLC CurrentSince Jun 8, 2025 Accepting new patients
Maki Ferguson Family CurrentSince Sep 24, 2025 Accepting new patients

Locations

2317 Gilmore St
Jacksonville, FL 32204
Phone (786) 879-9126

12211 Regency Village Dr
Ste 9
Orlando, FL 32821
Phone (786) 879-9126

5065 Wallis Rd
West Palm Beach, FL 33415
Phone (561) 689-1799

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1225839715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 MANATEE BAY DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334352801",
            "telephone_number": "561-445-5667",
            "fax_number": "561-984-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 MANATEE BAY DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334352801",
            "telephone_number": "561-405-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "MAKI",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11038099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.