Individual provider Active NPI

Allison Ferguson, CNP

  • Adult Health Nurse Practitioner
  • North Canton, OH
National Provider Identifier
1497375604
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
026439 Issued in OH
Practice address
3641 Shepherd St NW
North Canton, OH 44720-7949
Phone
(330) 639-7722
NPI assigned
Apr 17, 2020
Last updated
Apr 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 026439 OH Primary

Addresses

Primary practice location

3641 Shepherd St NW
North Canton, OH 44720-7949

Mailing address

3641 Shepherd St NW
North Canton, OH 44720-7949
Phone (330) 639-7722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210107002828 OH Practitioner - Nurse Practitioner 0941613178 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orrville Hospital FoundationGroup PAC ID 7911890546, 78 clinicians

Practice addresses (Care Compare)

2051 Wales Ave NW
Massillon, OH 44646-2393
Phone (330) 363-7462

830 S Main St
Orrville, OH 44667-2291
Phone (330) 684-2015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026439OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Hospital-Based Physician Corporation CurrentSince May 10, 2024 Accepting new patients
Aultman Hospital Current Accepting new patients
Alliance Community Medical Foundation LLC CurrentSince May 1, 2024 Accepting new patients
Orrville Hospital Foundation CurrentSince May 10, 2024 Accepting new patients
Ohio Hospital-Based Physicians Corporation CurrentSince May 10, 2024 Accepting new patients
Orrville Hospital Foundation CurrentSince May 10, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Orrville Hospital Foundation Past Accepting new patients

Locations

270 E State St
Ste G105
Alliance, OH 44601
Phone (330) 829-8699

270 E State St
Ste G110
Alliance, OH 44601
Phone (330) 596-7580

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

514 W Main St
Louisville, OH 44641
Phone (330) 829-9389

2051 Wales Ave NW
Massillon, OH 44646
Phone (330) 363-7462

830 S Main St
Orrville, OH 44667
Phone (330) 684-2015

830 S Main St
Ste 511
Orrville, OH 44667
Phone (330) 684-2015

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

Interoperability endpoints

  • Direct secure messaging: allison.ferguson@direct.aultman.org

Organizations & group practices 8

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 2

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": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1497375604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 SHEPHERD ST NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207949",
            "telephone_number": "330-639-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 SHEPHERD ST NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207949",
            "telephone_number": "330-639-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ALLISON",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "026439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.