Lisa L Ferguson, FNP-BC
Individual provider Active NPI Family Health Clinical Nurse Specialist · Carson City, MI
NPI 1275840282 · NPPES record last updated Sep 13, 2010
Key facts
- NPI
- 1275840282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Health Clinical Nurse Specialist 364SF0001X
- License
- 4704167154 (MI)
- Practice address
- 221 E Maple St
Carson City, MI 48811-0550 - Phone
- (989) 584-3153
- Fax
- (989) 584-3975
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Clinton County Medical Center PC
Practice addresses (Care Compare)
221 E Maple St
Carson City, MI 48811-8702
Phone (989) 584-3976
Hospital & facility affiliations
- Mary Free Bed at Home, LLC
- University of Michigan Health-Sparrow Carson
- Spectrum Health United Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20110518000085 | MI | Practitioner - Nurse Practitioner | 8224214705 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704167154 | MI | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton County Medical Center PC | Current |
Accepting new patients | |
| Clinton County Medical Center PC | Current |
Accepting new patients | |
| Edward W Sparrow Hospital Association | Past | Accepting new patients |
Locations
221 E Maple St
Carson City, MI 48811
Phone (989) 584-3153
10673 E Carson City Rd
Carson City, MI 48811
Phone (989) 584-3153
123 E Cass St
Greenville, MI 48838
Phone (616) 221-4302
4185 E Grand River Ave
Howell, MI 48843
Phone (517) 546-9200
1005 S US Highway 27
Ste 200
Saint Johns, MI 48879
Phone (989) 224-6897
1005 S US Highway 27
Ste 100
Saint Johns, MI 48879
Phone 9892243000616
Interoperability endpoints
- lisaferguson@ccmedc.allscriptsdirect.net
- lisaferguson@ouchuc.allscriptsdirect.net
- lisaferguson@compass.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | 4704167154 | MI | Yes |
Addresses
Primary practice location
221 E Maple St
Carson City, MI 48811-0550
Mailing address
221 E Maple St
Carson City, MI 48811-0550
Phone (989) 584-3153
Other providers in Carson City, MI
- Terry James Donohue
- Timothy Michael Donohue
- Vincent J Dube
- Andrea Chelene Edgar
- Edward W. Sparrow Hospital Association
- Seth Thomas Ferguson
- Five CS Communication Care PLC
- Foot & Ankle Specialists of West Michigan P L L C
- Edwin Allen Ford
- Fresh Horizons Counseling LLC
All providers in Carson City, MI · Family Health Clinical Nurse Specialist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2010. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.