DANIEL J FERGUSON (FNP-C) – Family Nurse Practitioner, NPI 1902315401

DANIEL J FERGUSON (FNP-C) is a healthcare provider. based in Bolivar, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 2017034508 (MO). The NPI Number for DANIEL J FERGUSON (FNP-C) is 1902315401

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL J FERGUSON (FNP-C)
NPI
1902315401
Phone
(417) 326-6000
Address
1500 N OAKLAND AVE
Enumeration Date
27 September 2017
Last Update Date
27 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5732984685
Graduation Year
2017 (9 years ago)
PAC ID
8729345632
Group Practice PAC ID
4385552660
Professional Enrollment ID
I20171201000764
Address ID
MO651095861JE3405XBLVD401
Telehealth
Yes
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

7,065 NURSE PRACTITIONER in MO

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Provider Addresses for DANIEL J FERGUSON (FNP-C)

  • Citizens Memorial Hospital, 1500, North Oakland Avenue, Bolivar, Polk County, Missouri, 65613, United States

    BOLIVAR, MO 656133011

    Phone: (417) 326-6000

    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 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-12-01

PECOS data refreshed: 2026-06-15

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
I20171201000764INurse PractitionerMOTBD

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
99497Advance care planning, first 30 minutes15264$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes13938$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes5716$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes4916$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2516$0
View full utilization report →

Insurance plans in this area (ZIP 65613)

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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: 4385552660View full group profile
NameSpecialtyState
Nurse PractitionerWV
Nurse PractitionerWV
Nurse PractitionerKS
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerNC
-WV
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I verify DANIEL J FERGUSON (FNP-C) with an NPI only?
You can start verification with NPI 1902315401 for DANIEL J FERGUSON (FNP-C), then check state licensing separately.
Is DANIEL J FERGUSON (FNP-C) still practicing?
DANIEL J FERGUSON (FNP-C) is currently listed as active in the public NPI registry.
What is DANIEL J FERGUSON (FNP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for DANIEL J FERGUSON (FNP-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect DANIEL J FERGUSON (FNP-C) on a map?
Expect Bolivar, Missouri as a primary anchor for DANIEL J FERGUSON (FNP-C) unless the record lists multiple sites.
Why does DANIEL J FERGUSON (FNP-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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