Individual provider Active NPI

Peggy Lee Ferguson, CRNP

  • Family Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1770749913
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34114 Issued in WV
Practice address
215 Don Knotts Blvd
Suite 130
Morgantown, WV 26501-6734
Phone
(304) 291-3627
Fax
(304) 284-8667
NPI assigned
Aug 6, 2008
Last updated
Aug 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 34114 WV Primary

Addresses

Primary practice location

215 Don Knotts Blvd
Suite 130
Morgantown, WV 26501-6734

Mailing address

215 Don Knotts Blvd
Suite 130
Morgantown, WV 26501-6734
Phone (304) 291-3627

Other names 1

  • Peggy Lee Knuth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20120918000821 WV Practitioner - Nurse Practitioner 3375791254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
West Virginia University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel W Wilson M D PLLCGroup PAC ID 4183881428, 3 clinicians

Practice addresses (Care Compare)

7 E Cove Ave
Suite B
Wheeling, WV 26003-5083
Phone (304) 242-4601

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.59 of 100Reported as group
Quality
100
Improvement activities
0
Cost
78.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34114WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel W Wilson M D PLLC CurrentSince Jul 12, 2012 Accepting new patients

Locations

109 Mount Wood Rd
#1
Wheeling, WV 26003

7 E Cove Ave
Wheeling, WV 26003
Phone (304) 233-5094

7 E Cove Ave
Ste B
Wheeling, WV 26003
Phone (304) 242-4601

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1770749913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DON KNOTTS BLVD",
            "address_2": "SUITE 130",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265016734",
            "telephone_number": "304-291-3627",
            "fax_number": "304-284-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DON KNOTTS BLVD",
            "address_2": "SUITE 130",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265016734",
            "telephone_number": "304-291-3627",
            "fax_number": "304-284-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "PEGGY",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "34114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEGGY",
            "last_name": "KNUTH",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.