Susanna Ferguson, RN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131800 Issued in TX

Practice address

802 W Lampasas St
Ennis, TX 75119-4536

Phone

(972) 875-4700

NPI assigned

Oct 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Susanna Burnham Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellis County Medical AssociatesGroup PAC ID 5991779597, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ennis Regional Medical Center Hospital, Ennis, TX, CCN 450833
• Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGFCAA

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.

• Ellis County Medical Associates

  • Nurse Practitioner
  • Ennis, TX
  • NPI 1942304696
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Medical Center at Waxahachie

  • General Acute Care Hospital
  • Waxahachie, TX
  • NPI 1265430177
  Care Compare affiliation
• PRHC Ennis LP

  • General Acute Care Hospital
  • Ennis, TX
  • NPI 1700805678
  Care Compare affiliation

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1669922100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194536",
            "telephone_number": "214-732-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194536",
            "telephone_number": "972-875-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "SUSANNA",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNA",
            "last_name": "BURNHAM",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandria Etuk, PHARMD.
• Expecare, LP
• Family Smiles of Ennis PC
• Fannin County Hospital Authority
• Jada Dawn Farmer, M.S., CCC-SLP
• Merle Ann Filecia, FNP-C
• Clayton Arthur Fisher, D.D.S.
• Susan Deann Florencio, APRN FNP-C
• Joey R. Flores, FNPC
• Roger A Frost, CRNA

• Family Nurse Practitioner in Ennis, TX
• Providers in Ennis, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.