Individual provider Active NPI

Micheala Marie Ferguson, NP-C

  • Nurse Practitioner
  • Coppell, TX
National Provider Identifier
1639834054
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1066573 Issued in TX
Practice address
143 S Denton Tap Rd Ste 180
Coppell, TX 75019-3375
Phone
(469) 564-1119
Fax
(512) 782-9316
NPI assigned
Nov 1, 2021
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1066573 TX Primary
Nurse Practitioner 363L00000X CNP261342 ME
Primary Care Nurse Practitioner 363LP2300X 10039685 OR
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

143 S Denton Tap Rd Ste 180
Coppell, TX 75019-3375

Mailing address

143 S Denton Tap Rd Ste 180
Coppell, TX 75019-3375
Phone (469) 564-1119

Other practice location 1

24461 E Welches Rd
Welches, OR 97067-7067
Phone (541) 782-8242

Other practice location 2

188 Summer St
Dover Foxcroft, ME 04426-1129
Phone (207) 538-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220808001755 TX Practitioner - Nurse Practitioner 8123400199 Reassigns benefits to 3 organizations
I20260609004535 ME Practitioner - Nurse Practitioner 8123400199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians

Practice addresses (Care Compare)

188 Summer St
Dover Foxcroft, ME 04426-1129
Phone (207) 538-3700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP261342MEMDNurse Practitioner
10039685ORMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Beulah Family Clinic Professional Limited Liability Company CurrentSince Jan 30, 2025 Accepting new patients
Total MD Physicians Group, PLLC CurrentSince Jun 1, 2022 Accepting new patients
United Indian Health Services, Inc. Past Accepting new patients
United Indian Health Services, Inc. Past Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

1534 N Hampton Rd
Ste 100
Desoto, TX 75115
Phone (469) 941-4029

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

234 W Campbell Rd
Richardson, TX 75080
Phone (972) 474-3221

2175 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 813-2700

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFGEDD
  • Direct secure messaging: mferguson820459@direct.ochin.org

Organizations & group practices 6

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 3

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1639834054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 S DENTON TAP RD STE 180",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193375",
            "telephone_number": "469-564-1119",
            "fax_number": "512-782-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 S DENTON TAP RD STE 180",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193375",
            "telephone_number": "469-564-1119",
            "fax_number": "512-782-9316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24461 E Welches Rd",
            "address_purpose": "LOCATION",
            "city": "Welches",
            "state": "OR",
            "postal_code": "970677067",
            "country_code": "US",
            "telephone_number": "541-782-8242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Summer St",
            "address_purpose": "LOCATION",
            "city": "Dover Foxcroft",
            "state": "ME",
            "postal_code": "044261129",
            "country_code": "US",
            "telephone_number": "207-538-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "MICHEALA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1066573",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP261342",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "10039685",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

Verify at the official NPI Registry.