Brenda Jean Ferguson, ACNPC

Individual provider Active NPI Nurse Practitioner · Clinton, MA

NPI 1962870345 · NPPES record last updated Mar 8, 2023

Key facts

NPI
1962870345
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
RN187521 (MA)
Practice address
201 Highland St
Clinton, MA 01510-1037
Phone
(978) 466-4169
Fax
(978) 466-4164
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN187521MAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: bferguson302307@umassmemorial.direct-ci.com
  • Direct secure messaging: ms_bfergu18@landmarkhealth-direct.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN187521 MA Yes

Addresses

Primary practice location

201 Highland St
Clinton, MA 01510-1037

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (002) 258-8858

Other practice location 1

1400 Computer Dr Ste 301
Westborough, MA 01581-1790
Phone (657) 237-2450

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address bferguson302307@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Other providers in Clinton, MA

All providers in Clinton, MA · Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.