Individual provider Active NPI

Daniel J Ferguson, FNP-C

  • Family Nurse Practitioner
  • Bolivar, MO
National Provider Identifier
1902315401
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017034508 Issued in MO
Practice address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone
(417) 327-3530
NPI assigned
Sep 27, 2017
Last updated
Sep 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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 2017034508 MO Primary

Addresses

Primary practice location

1500 N Oakland Ave
Bolivar, MO 65613-3011

Mailing address

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 326-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20171201000764 MO Practitioner - Nurse Practitioner 8729345632 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Hospices of America LLCGroup PAC ID 4385552660, shared by 11 NPIs, 9 clinicians

Practice addresses (Care Compare)

3405 W Truman Blvd
210 Hospice Compassus Central Missouri
Jefferson City, MO 65109-5861
Phone (573) 298-4685

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospices of America, LLC Family CurrentSince Dec 17, 2020 Accepting new patients
Community Hospices of America, LLC Current Accepting new patients
Community Hospices of America, LLC CurrentSince Sep 30, 2022 Accepting new patients
Citizens Memorial Healthcare CurrentSince Nov 27, 2017 Accepting new patients
Citizens Memorial Healthcare CurrentSince Nov 27, 2017 Accepting new patients
Community Hospices of America LLC Family CurrentSince Dec 17, 2020 Accepting new patients
Community Hospices of America LLC Family Past Accepting new patients

Locations

1245 N Butterfield Rd
Ste C1
Bolivar, MO 65613
Phone (417) 327-3530

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

303 N Keene St
Ste 306
Columbia, MO 65201
Phone (573) 443-8360

3405 W Truman Blvd
Ste 210
Jefferson City, MO 65109
Phone (573) 261-6226

707 E Briggs Dr
#B
Macon, MO 63552
Phone (660) 385-4400

1602C N Main St
Mountain Grv, MO 65711
Phone (417) 926-4146

230 Business Highway 13
Ste 2
Osceola, MO 64776
Phone (417) 283-3244

1341 W Battlefield St
Ste 120
Springfield, MO 65807
Phone (417) 882-0453

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1902315401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133011",
            "telephone_number": "417-326-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133011",
            "telephone_number": "417-327-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017034508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, MO

Sources for this page

Verify at the official NPI Registry.