Jennifer Lee Ferguson, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP026776 Issued in PA

Practice address

502 Morton Ave
Ridley Park, PA 19078-3306

Phone

(610) 809-4936

NPI assigned

Jan 2, 2023

Last updated

Aug 20, 2024By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Wound Specialists of Elizabeth LLCGroup PAC ID 6002097953, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Integrated Wound Specialists of Elizabeth, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Elizabeth, NJ
  • NPI 1437478898
  Medicare reassignment Care Compare group NPD
• Integrated Wound Specialists of Pennsylvania, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Somerset, PA
  • NPI 1578882924
  Medicare reassignment NPD
• HC Pennsylvania P.C.

  • Multi-Specialty Clinic/Center
  • Lakewood, NJ
  • NPI 1508754227

  PA

  Medicare reassignment NPD
• Renew Wound Care of New Jersey LLC

  • Family Medicine Physician
  • Trenton, NJ
  • NPI 1245815851
  Medicare reassignment NPD
• Redefine Medicine LLC

  • Family Nurse Practitioner
  • Ridley Park, PA
  • NPI 1679429377
  NPD Authorized official
• Trinitas Physicians Practice, LLC

  • Internal Medicine Physician
  • Elizabeth, NJ
  • NPI 1205189941
  NPD (past)

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

• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1780397083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MORTON AVE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190783306",
            "telephone_number": "610-809-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MORTON AVE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190783306",
            "telephone_number": "610-809-4936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Chapel Ave W Ste 404",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080022062",
            "country_code": "US",
            "telephone_number": "856-922-5010",
            "fax_number": "856-922-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.ferguson@redefinemedicine.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "502 Morton Ave",
            "city": "Ridley Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190783306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick L Elliott, DO
• Yasin Essa, MD
• Nkemdilim Obiorah Ezeife, M.D.
• John M Fanning, DO
• Charlotte Fatoma
• Laura Fidorowicz, LPC
• Kristen Fridy, LPC
• Allen S Gabroy, MD
• Gayle E Gilmore, PTA
• David S Ginsburg, MD

• Family Nurse Practitioner in Ridley Park, PA
• Providers in Ridley Park, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.