Individual provider Active NPI

Stacey Ferguson, FNP

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1922518265
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10625 Issued in AZ
Practice address
13760 N 93Rd Ave Ste 105
Peoria, AZ 85381-4260
Phone
(480) 698-1606
Fax
(480) 605-2250
NPI assigned
Sep 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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 10625 AZ Primary

Addresses

Primary practice location

13760 N 93Rd Ave Ste 105
Peoria, AZ 85381-4260

Mailing address

13760 N 93Rd Ave Ste 105
Peoria, AZ 85381-4260
Phone (480) 698-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20171115003748 AZ Practitioner - Nurse Practitioner 5597021030 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10625AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Az Care Anesthesia , PLC CurrentSince Oct 14, 2017 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Sep 19, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 19, 2021 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Sep 19, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 19, 2021 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Aleracare Aic LLC CurrentSince Sep 11, 2023 Accepting new patients

Locations

930 N Switzer Canyon Dr
Ste 201
Flagstaff, AZ 86001
Phone (520) 542-2125

13657 W McDowell Rd
Ste 118
Goodyear, AZ 85395
Phone (623) 328-7794

3555 Western Ave
Kingman, AZ 86409
Phone (928) 530-5430

3201 W Peoria Ave
Ste C606
Phoenix, AZ 85029
Phone (602) 358-7106

5350 E High St
Ste 300
Phoenix, AZ 85054
Phone (480) 716-5820

19841 N 27th Ave
Ste 101
Phoenix, AZ 85027
Phone (602) 439-1111

4350 E Ray Rd
Ste 108
Phoenix, AZ 85044
Phone (480) 759-1040

3100 N Navajo Dr
Ste B3
Prescott Valley, AZ 86314
Phone (480) 716-3476

20185 E Ocotillo Rd
Ste 105
Queen Creek, AZ 85142
Phone (480) 677-3600

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

13640 N 99th Ave
Ste 600
Sun City, AZ 85351
Phone (623) 523-0580

2120 W Ina Rd
Ste 100
Tucson, AZ 85741
Phone (520) 395-0471

2110 W 24th St
Ste A
Yuma, AZ 85364
Phone (855) 442-7700

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1922518265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13760 N 93RD AVE STE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814260",
            "telephone_number": "480-698-1606",
            "fax_number": "480-605-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13760 N 93RD AVE STE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814260",
            "telephone_number": "480-698-1606",
            "fax_number": "480-605-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "STACEY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-30",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "10625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.