Individual provider Active NPI

Jenna Ferguson

  • Family Medicine Physician
  • Warren, OH
National Provider Identifier
1730839044
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.152960 Issued in OH
Practice address
5901 Mahoning Ave NW
Warren, OH 44483-1171
Phone
(330) 847-9911
Fax
(330) 847-3100
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.152960 OH Primary

Addresses

Primary practice location

5901 Mahoning Ave NW
Warren, OH 44483-1171

Mailing address

5901 Mahoning Ave NW
Warren, OH 44483-1171
Phone (330) 847-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627000670 OH Practitioner - Family Practice 7911373071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

5901 Mahoning Ave NW
Warren, OH 44483-1171
Phone (330) 399-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.152960OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince May 1, 2025 Accepting new patients
Mercy Health Physicians Youngstown, LLC Family Medicine CurrentSince Jul 14, 2025 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince May 1, 2025 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Jul 14, 2025 Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

1605 State Route 60
Ste 8
Vermilion, OH 44089
Phone (440) 967-8713

5901 Mahoning Ave NW
Warren, OH 44483
Phone (330) 399-2500

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: jferguson1278679@direct.bsmhealth.org
  • Direct secure messaging: jferguson33048@summahealth-direct.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1730839044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831171",
            "telephone_number": "330-847-9911",
            "fax_number": "330-847-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831171",
            "telephone_number": "330-847-9911",
            "fax_number": "330-847-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.152960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.