Individual provider Active NPI

Amanda Ferguson, APRN

  • Family Nurse Practitioner
  • Broomfield, CO
National Provider Identifier
1962959783
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994342-NP Issued in CO
Practice address
3400 Industrial LN Unit 1a
Broomfield, CO 80020-1650
Phone
(720) 912-4098
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 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 APN.0994342-NP CO Primary

Addresses

Primary practice location

3400 Industrial LN Unit 1a
Broomfield, CO 80020-1650

Mailing address

1323 S Elmoro CT
Superior, CO 80027-8068
Phone (402) 916-0215

Other practice location 1

550 Zang St Ste 202
Broomfield, CO 80021-8248
Phone (720) 786-0681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181106001930 CO Practitioner - Nurse Practitioner 4082976055 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0994342-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Cancer Centers LLP Current Accepting new patients
Rocky Mountain Cancer Centers, LLP CurrentSince Nov 27, 2023 Accepting new patients
Half Moon Health and Wellness, LTD. Family CurrentSince Aug 17, 2025 Accepting new patients

Locations

3400 Industrial Ln
Unit 1A
Broomfield, CO 80020
Phone (720) 477-6699

2222 N Nevada Ave
Ste 2025
Colorado Springs, CO 80907
Phone (719) 776-6222

3027 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 577-2555

7951 E Maplewood Ave
Ste 350
Greenwood Village, CO 80111

8820 Huron St
Thornton, CO 80260
Phone (303) 386-7622

Interoperability endpoints

  • Direct secure messaging: amanda.ferguson@rmcc.ikm.direct-ci.com

Organizations & group practices 4

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1962959783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 S ELMORO CT",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278068",
            "telephone_number": "402-916-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 INDUSTRIAL LN UNIT 1A",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201650",
            "telephone_number": "720-912-4098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Zang St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800218248",
            "country_code": "US",
            "telephone_number": "720-786-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "AMANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994342-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.