NPIMap

Individual provider Active NPI

Keri Ferguson, NP-C

  • Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1326519679
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
994479 Issued in CO
Practice address
1107 S Lemay Ave Ste 300
Fort Collins, CO 80524-3955
Phone
(970) 493-7442
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 140572 CO
Nurse Practitioner 363L00000X 994479 CO Primary

Addresses

Primary practice location

1107 S Lemay Ave Ste 300
Fort Collins, CO 80524-3955

Mailing address

1715 Monarch Cir
Loveland, CO 80538-6158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190315000793 CO Practitioner - Nurse Practitioner 8325388010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Collins Womens Clinic PCGroup PAC ID 3971492711, 33 clinicians

Practice addresses (Care Compare)

1107 S Lemay Ave
Suite 300
Fort Collins, CO 80524-3955
Phone (970) 493-7442

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.85 of 100Reported as group
Quality
66.46
Improvement activities
40
Cost
71.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140572COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Collins Women's Clinic, P.C. CurrentSince Feb 20, 2019 Accepting new patients
Fort Collins Women's Clinic, PC CurrentSince Feb 20, 2019 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients

Locations

1107 S Lemay Ave
Ste 300
Fort Collins, CO 80524
Phone (970) 493-7442

2500 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 493-7442

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

Interoperability endpoints

  • Direct secure messaging: keri.fergusonnp.p1@direct.thewomensclinic.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1326519679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 MONARCH CIR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805386158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S LEMAY AVE STE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243955",
            "telephone_number": "970-493-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KERI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "140572",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "994479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.