Active NPI
Jeffery Ferguson, CRNA
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28188327A
- Practice address
- 7150 Clearvista Dr
Indianapolis, IN 46256-1695 - Phone
- (317) 621-5890
- NPI assigned
- Nov 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28188327A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 287009 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | CERT #78435 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 28188327A | IN | Primary |
Addresses
Primary practice location
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547
Other practice location 1
2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-0577
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000947187 | Other | IN | ANTHEM PROVIDER NUMBER |
| 200914780 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000
2400 Miami Valley Dr
Dayton, OH 45459-4774
Phone (937) 438-2400
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200
7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500
Hospital & facility affiliations
- Miami Valley Hospital
- Good Samaritan Hospital
- Mercy Health-Anderson Hospital
- McCullough-Hyde Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28188327A | IN | MD | Registered Nurse |
| 287009 | OH | MD | Certified Registered Nurse Anesthetist |
| CERT #78435 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Sandusky Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Decatur County Memorial Hospital | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| PHS Anesthesia Billing, LLC | Current | Accepting new patients | |
| Ogi Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Anesthesia Associates of Cincinnati, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Medical Center at Elizabeth Place LLC | Past | Accepting new patients | |
| Kettering Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
8016 Reliable Pkwy
Chicago, IL 60686
26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
731 N Lincoln St
Greensburg, IN 47240
Phone (812) 222-2229
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041
2600 Greenbush St
Lafayette, IN 47904
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
2925 Vernon Pl
Ste 101
Cincinnati, OH 45219
Phone (513) 872-4541
4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
Interoperability endpoints
- jferguson387453@ecommunitydirect.com
Organizations & group practices 17
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.
-
- Anesthesiology Physician
- Middletown, OH
- NPI 1578361044
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Critical Access Hospital
- Greensburg, IN
- NPI 1952300477
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1912578667
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
- NPI 1962776807
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Circleville, OH
- NPI 1770907859
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, OH
- NPI 1245216183
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1235239211
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1295915759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890",
"telephone_number": "317-621-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 CLEARVISTA DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561695",
"telephone_number": "317-621-5890"
}
],
"practiceLocations": [
{
"address_1": "2139 Auburn Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192906",
"country_code": "US",
"telephone_number": "513-585-0577",
"fax_number": "513-672-4479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERGUSON",
"first_name": "JEFFERY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-13",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28188327A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "287009",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "CERT #78435",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28188327A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000947187",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200914780",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.