Allison Ferguson, CNP
Individual provider Active NPI Adult Health Nurse Practitioner · North Canton, OH
NPI 1497375604 · NPPES record last updated Apr 17, 2020
Key facts
- NPI
- 1497375604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 026439 (OH)
- Practice address
- 3641 Shepherd St NW
North Canton, OH 44720-7949 - Phone
- (330) 639-7722
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ohio Hospital-Based Physicians Corporation
Orrville Hospital Foundation
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
- Aultman Hospital
- Aultman Orrville Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210107002828 | OH | Practitioner - Nurse Practitioner | 0941613178 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026439 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman Hospital | Current | Accepting new patients | |
| Ohio Hospital-Based Physicians Corporation | Current |
Accepting new patients | |
| Alliance Community Medical Foundation LLC | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Current |
Accepting new patients | |
| Ohio Hospital-Based Physician Corporation | Current |
Accepting new patients | |
| Orrville Hospital Foundation | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
270 E State St
Ste G110
Alliance, OH 44601
Phone (330) 596-7580
270 E State St
Ste G105
Alliance, OH 44601
Phone (330) 829-8699
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
Ste 511
Orrville, OH 44667
Phone (330) 684-2015
832 S Main St
Orrville, OH 44667
Phone (330) 456-2695
830 S Main St
Orrville, OH 44667
Phone (330) 684-2015
Interoperability endpoints
- allison.ferguson@direct.aultman.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 026439 | OH | Yes |
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
Other providers in North Canton, OH
- Phil Federspiel
- Sonia Fehn
- James Paul Feicht
- Alyssa Marie Felleti
- Ferguson Family Chiropractic and Wellness Center, LLC
- Amanda Nicole Ferguson
- Susan Ferguson
- Vanessa Marie Fessenden
- Zachary David Fettman
- Adrienne Fifer
All providers in North Canton, OH · Adult Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.