Individual provider Active NPI

Kristen L Ferguson, M.D.

  • Emergency Medicine Physician
  • Springfield, IL
National Provider Identifier
1750308227
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036110595 Issued in IL
Practice address
350 W Carpenter St
Springfield, IL 62702-4902
Phone
(217) 528-7541
Fax
(217) 606-3035
NPI assigned
Jul 17, 2006
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036110595 IL Primary

Addresses

Primary practice location

350 W Carpenter St
Springfield, IL 62702-4902

Mailing address

PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541

Other practice location 1

17 Ginger Creek Mdws
Glen Carbon, IL 62034-3508
Phone (618) 656-9777

Other practice location 2

1103 Belt Line Rd
Collinsville, IL 62234-4368
Phone (618) 344-2273

Other practice location 3

108 W US Highway 40
Troy, IL 62294-1836
Phone (618) 667-1800

Other practice location 4

159 E McArthur Dr
Bethalto, IL 62010-1918
Phone (618) 258-7504

Other practice location 5

800 E Carpenter St
Springfield, IL 62769-0002
Phone (217) 544-6464

Other identifiers 1

IdentifierTypeStateIssuer
036110595MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040927000763 IL Practitioner - Emergency Medicine 6608843263 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsboro Area Hospital, Inc.Group PAC ID 4486547148, 37 clinicians
Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians

Practice addresses (Care Compare)

1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6111

350 W Carpenter St
Springfield, IL 62702-4902
Phone (217) 525-0210

775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Macoupin Physician Services, PC CurrentSince Nov 29, 2021 Accepting new patients
Carlinville Area Hospital Association CurrentSince Dec 13, 2025 Accepting new patients
Eldorado Emergency Group PC Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Midwest Emergency Department Specialists LTD Emergency Medicine CurrentSince Mar 1, 2012 Accepting new patients
Carlinville Area Hospital Association CurrentSince Feb 9, 2015 Accepting new patients
Cep America Illinois LLP Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Springfield Clinic, LLP CurrentSince Dec 16, 2024 Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Oct 8, 2012 Accepting new patients
Hillsboro Area Hospital, Inc. Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Carlinville Area Hospital Association CurrentSince Feb 9, 2015 Accepting new patients
Sanburg Emergency Group, P.C. Emergency Medicine CurrentSince Nov 11, 2021 Accepting new patients
Memorial Medical Center Past Accepting new patients
Central Illinois Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1001 Morgan St
Carlinville, IL 62626
Phone (217) 854-3141

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-0557

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

350 W Carpenter St
Springfield, IL 62702
Phone (217) 525-0210

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
  • Direct secure messaging: kristen.ferguson.1@28977.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1750308227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19248",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949248",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024902",
            "telephone_number": "217-528-7541",
            "fax_number": "217-606-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Ginger Creek Mdws",
            "address_purpose": "LOCATION",
            "city": "Glen Carbon",
            "state": "IL",
            "postal_code": "620343508",
            "country_code": "US",
            "telephone_number": "618-656-9777",
            "fax_number": "618-656-1249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "IL",
            "postal_code": "622344368",
            "country_code": "US",
            "telephone_number": "618-344-2273",
            "fax_number": "618-344-3034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 W US Highway 40",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "IL",
            "postal_code": "622941836",
            "country_code": "US",
            "telephone_number": "618-667-1800",
            "fax_number": "618-667-1802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 E McArthur Dr",
            "address_purpose": "LOCATION",
            "city": "Bethalto",
            "state": "IL",
            "postal_code": "620101918",
            "country_code": "US",
            "telephone_number": "618-258-7504",
            "fax_number": "618-258-7542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Carpenter St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627690002",
            "country_code": "US",
            "telephone_number": "217-544-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036110595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110595",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.