Individual provider Active NPI

James Lewis Ferguson, CNP

  • Family Nurse Practitioner
  • McHenry, IL
National Provider Identifier
1841602794
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011623 Issued in IL
Practice address
4309 W Medical Center Dr Ste B100
McHenry, IL 60050
Phone
(815) 344-8585
Fax
(815) 344-8610
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209011623 IL
Family Nurse Practitioner 363LF0000X 209011623 IL Primary

Addresses

Primary practice location

4309 W Medical Center Dr Ste B100
McHenry, IL 60050

Mailing address

4309 W Medical Center Dr Ste B100
McHenry, IL 60050-8438
Phone (815) 344-8585

Other practice location 1

22285 N Pepper Rd Ste 311
Lake Barrington, IL 60010-2541
Phone (847) 382-4410

Other identifiers 1

IdentifierTypeStateIssuer
209011623OtherILSTATE LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140821001229 IL Practitioner - Nurse Practitioner 4981822699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Partners of Illinois PLLCGroup PAC ID 2567758295, 38 clinicians

Practice addresses (Care Compare)

22285 N Pepper Rd
Suite 311
Lake Barrington, IL 60010-2541
Phone (847) 382-4623

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Partners of Illinois, PLLC CurrentSince May 1, 2018 Accepting new patients

Locations

350 E Congress Pkwy
Ste D
Crystal Lake, IL 60014
Phone (847) 639-2999

10350 Haligus Rd
Ste 210
Huntley, IL 60142
Phone (815) 356-5200

22285 N Pepper Rd
Ste 311
Lake Barrington, IL 60010
Phone (847) 382-4410

1880 W Winchester Rd
Ste 201
Libertyville, IL 60048
Phone (847) 247-0187

4309 W Medical Center Dr
Ste B100
McHenry, IL 60050
Phone (815) 363-0400

Interoperability endpoints

  • Direct secure messaging: jferguson237764@direct.myadvocateaurora.org

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 and National Provider Directory roles.

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1841602794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE B100",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508438",
            "telephone_number": "815-344-8585",
            "fax_number": "815-344-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE B100",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "60050",
            "telephone_number": "815-344-8585",
            "fax_number": "815-344-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22285 N Pepper Rd Ste 311",
            "address_purpose": "LOCATION",
            "city": "Lake Barrington",
            "state": "IL",
            "postal_code": "600102541",
            "country_code": "US",
            "telephone_number": "847-382-4410",
            "fax_number": "847-382-4451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JAMES",
        "middle_name": "LEWIS",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011623",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209011623",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.