Mark Glenndon Fergeson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

72566 Issued in OK

Practice address

1601 SW 89TH St Ste D100
Oklahoma City, OK 73159-6378

Phone

(405) 546-7888

Fax

(844) 518-2784

NPI assigned

Feb 26, 2014

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fulcrum Clinic LLCGroup PAC ID 4082959713, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fulcrum Clinic LLC

  dba Fulcrum Health & Wellness

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1124512322
  Medicare reassignment Care Compare group
• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297
  Medicare reassignment NPD
• Oklahoma Emergency Services PC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1114239795
  Medicare reassignment NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1497170526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW 89TH ST STE D100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596378",
            "telephone_number": "405-546-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW 89TH ST STE D100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596378",
            "telephone_number": "405-546-7888",
            "fax_number": "844-518-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGESON",
        "first_name": "MARK",
        "middle_name": "GLENNDON",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "72566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shante L Fenner
• Matthew Fenton, CRNA
• Timothy Fenton, LADC/MH
• Beverly K. Fentress, RPT
• Mark A Fergeson, MD
• Briana Ferguson, PT
• Dennis Burke Ferguson, PH.D.
• Emerald Brooke Ferguson, DDS
• Hanna N Ferguson, MHS, PA-C
• Judy Marie Ferguson, PHD

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.