BRETT ANTHONY FERGUSON – Adult Health Nurse Practitioner, NPI 1053897215
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for BRETT ANTHONY FERGUSON
2727 Highway K
Bonne Terre, MO 636283430
Phone: (573) 358-5516
Fax: (573) 358-0917
Type: Location
Bonne Terre, St. Francois County, Missouri, United States
BONNE TERRE, MO 636283430
Phone: (573) 358-5516
Fax: (573) 358-0917
Type: Mailing
PO BOX 740019
ATLANTA, GA 303740019
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
8033 W FLORISSANT AVE STE A
JENNINGS, MO 631361412
Phone: (314) 888-0971
Fax: (314) 408-7062
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-01-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250113003162 | I | Nurse Practitioner | MO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63628)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Emergency Medicine, Family Practice, Preventive Medicine | GA | |
| Nurse Practitioner | KS | |
| Internal Medicine | IL | |
| Nurse Practitioner | MO |
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