Individual provider Active NPI

Lisa L Ferguson, FNP-BC

  • Family Health Clinical Nurse Specialist
  • Carson City, MI
National Provider Identifier
1275840282
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
4704167154 Issued in 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
Last updated
Sep 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 4704167154 MI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110518000085 MI Practitioner - Nurse Practitioner 8224214705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 8224923818, 27 clinicians

Practice addresses (Care Compare)

221 E Maple St
Carson City, MI 48811-8702
Phone (989) 584-3976

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704167154MIMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center PC CurrentSince Jan 12, 2019 Accepting new patients
Clinton County Medical Center PC CurrentSince Jan 12, 2019 Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

10673 E Carson City Rd
Carson City, MI 48811
Phone (989) 584-3153

221 E Maple St
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 100
Saint Johns, MI 48879
Phone (989) 292-3572

Interoperability endpoints

  • Direct secure messaging: lisaferguson@ccmedc.allscriptsdirect.net
  • Direct secure messaging: lisaferguson@compass.allscriptsdirect.net
  • Direct secure messaging: lisaferguson@ouchuc.allscriptsdirect.net

Organizations & group practices 4

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 3

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1275840282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E MAPLE ST",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488110550",
            "telephone_number": "989-584-3153",
            "fax_number": "989-584-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E MAPLE ST",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488110550",
            "telephone_number": "989-584-3153",
            "fax_number": "989-584-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LISA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "MI",
            "license": "4704167154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, MI

Sources for this page

Verify at the official NPI Registry.