NICOLE J FERGUSON (DO) – Family Medicine Physician, NPI 1194245506

NICOLE J FERGUSON (DO) is a healthcare provider. based in Des moines, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. R-11012 (IA). The NPI Number for NICOLE J FERGUSON (DO) is 1194245506

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE J FERGUSON (DO)
NPI
1194245506
Phone
(515) 643-2682
Address
1111 6TH AVE
Enumeration Date
27 June 2017
Last Update Date
6 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6417922112
Graduation Year
2017 (9 years ago)
PAC ID
9234408196
Group Practice PAC ID
6608768676
Professional Enrollment ID
I20200909001721
Address ID
IA502083122NE300XXEXXX504
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for NICOLE J FERGUSON (DO)

  • MercyOne Des Moines Medical Center, 1111, 6th Avenue, Des Moines, Polk County, Iowa, 50314, United States

    DES MOINES, IA 503142613

    Phone: (515) 643-2682

    Fax: (515) 643-5802

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $928.

Total Amount is formed as General ($928) + Research ($0) + Ownership ($0) = $928.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: PFIZER INC. ($433).

Total Amount

$928

General + Research + Ownership

Payments

78

Total payment records

General Amount

$928

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200909001721IFamily PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes244143$0
99213Established patient office or other outpatient visit, 20-29 minutes218157$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month16228$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count151125$0
84443Blood test, thyroid stimulating hormone (tsh)11093$0
View full utilization report →

Insurance plans in this area (ZIP 50314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608768676View full group profile
NameSpecialtyState
Nurse PractitionerIA
Nurse PractitionerIA
Family PracticeSC
Family PracticeIA
Family PracticeIA
Family PracticeIA
O B S T E T R I C S/ G Y N E C O L O G YIA
Family PracticeIA
Internal MedicineIA
Family PracticeIA

Reviews

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Frequently asked questions

What identifier follows NICOLE J FERGUSON (DO) across health systems?
The NPI 1194245506 uniquely identifies NICOLE J FERGUSON (DO) in U.S. healthcare data.
Quick check: is NICOLE J FERGUSON (DO) active?
Public NPPES data shows NICOLE J FERGUSON (DO) with an active NPI status right now.
What does the directory say NICOLE J FERGUSON (DO) does?
Insurance directories may phrase it differently, but here NICOLE J FERGUSON (DO) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is NICOLE J FERGUSON (DO) tied to Des Moines, Iowa?
If you are local to Des Moines, Iowa, NICOLE J FERGUSON (DO) may be relevant to your search.
Who maintains NICOLE J FERGUSON (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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