DR. AMANDA NICOLE FERGUSON (D.C.) – Chiropractor, NPI 1235434754

DR. AMANDA NICOLE FERGUSON (D.C.) is a healthcare provider. based in North canton, Ohio. specializing in Chiropractor. They hold the professional credentials D.C.. They hold a License No. 4135 (OH). The NPI Number for DR. AMANDA NICOLE FERGUSON (D.C.) is 1235434754

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA NICOLE FERGUSON (D.C.)
NPI
1235434754
Phone
(330) 818-2196
Address
3313 LEE ST NW
Enumeration Date
13 January 2011
Last Update Date
6 June 2013

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
3308182196
Graduation Year
2012 (14 years ago)
PAC ID
0648453266
Group Practice PAC ID
9032359005
Professional Enrollment ID
I20110318000877
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for DR. AMANDA NICOLE FERGUSON (D.C.)

  • 3313 LEE ST NW

    NORTH CANTON, OH 447204735

    Phone: (330) 818-2196

    Fax: (330) 818-2199

    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)

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: 2011-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (926 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20110318000877IChiropracticOH2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44720)

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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: 9032359005View full group profile
NameSpecialtyState
C H I R O P R A C T I COH
C H I R O P R A C T I COH
-OH
C H I R O P R A C T I COH

Reviews

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Frequently asked questions

Is there an official ID for DR. AMANDA NICOLE FERGUSON (D.C.) in U.S. healthcare records?
The official identifier for DR. AMANDA NICOLE FERGUSON (D.C.) is NPI 1235434754.
Is DR. AMANDA NICOLE FERGUSON (D.C.) still an active registrant?
DR. AMANDA NICOLE FERGUSON (D.C.) carries an active NPI according to the public dataset.
What area of care is associated with DR. AMANDA NICOLE FERGUSON (D.C.)?
DR. AMANDA NICOLE FERGUSON (D.C.)'s record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. AMANDA NICOLE FERGUSON (D.C.)?
Travel planning: use North Canton, Ohio as the reference point for DR. AMANDA NICOLE FERGUSON (D.C.), then confirm.
Does DR. AMANDA NICOLE FERGUSON (D.C.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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