Individual provider Active NPI

Jessica Brous Fergason, APRN

  • Women's Health Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1629777933
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
TMP-161467 Issued in KS
Practice address
12200 W 106TH St Ste 230
Overland Park, KS 66215-2305
Phone
(913) 948-9636
NPI assigned
Feb 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X TMP-161467 KS Primary

Addresses

Primary practice location

12200 W 106TH St Ste 230
Overland Park, KS 66215-2305

Mailing address

5100 W 66TH St
Prairie Village, KS 66208-1453
Phone (913) 481-5584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20231004000936 KS Practitioner - Nurse Practitioner 0244684611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care for Women, LLCGroup PAC ID 5294826434, 26 clinicians

Practice addresses (Care Compare)

12200 W 106TH St
Suite 230
Overland Park, KS 66215-2305
Phone (913) 948-9636

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TMP-161467KSMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care for Women, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

16180 W 135th St
Olathe, KS 66062

12200 W 106th St
Ste 230
Overland Park, KS 66215
Phone (913) 948-9636

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jessica.fergason@hca2.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1629777933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W 66TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662081453",
            "telephone_number": "913-481-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 230",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "913-948-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGASON",
        "first_name": "JESSICA",
        "middle_name": "BROUS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "TMP-161467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.