Abigail Elizabeth Ferrill, APRN-CNS

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

R0113256 Issued in OK

Practice address

4800 W Quincy St Ste 100
Broken Arrow, OK 74012-5925

Phone

(539) 367-2530

Fax

(539) 367-2373

NPI assigned

Jul 27, 2015

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Abigail Elizabeth Lincicome Other name

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

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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.

• Metro Infectious Disease Consultants, LLC

  dba Midc, LLC

  • Infectious Disease Physician
  • Burr Ridge, IL
  • NPI 1235125717

  Nurse Practitioner, OK

  Medicare reassignment Care Compare group NPD
• Metro Infectious Disease Consultants LLC

  dba Midc

  • Infectious Disease Physician
  • Jonesboro, GA
  • NPI 1770307191
  NPD

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1558746958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W QUINCY ST STE 100",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125925",
            "telephone_number": "539-367-2530",
            "fax_number": "539-367-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W QUINCY ST STE 100",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125925",
            "telephone_number": "539-367-2530",
            "fax_number": "539-367-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRILL",
        "first_name": "ABIGAIL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APRN-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0113256",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OK",
            "license": "R0113256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "LINCICOME",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Michelle Fent, BS
• Chelsea Shannon Ferguson
• Hailey R Ferguson, LMSW
• Mary Catherine Ferguson
• Angelica Fernandez
• Paige Fideline
• Brittany Latrice Finnie
• Riley Nicole Finnigan
• Firefly Pediatric Center, LLC
• Natasha Firth

• Adult Health Clinical Nurse Specialist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Adult Health Clinical Nurse Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.