MRS. ORELE SHANANAE FERGUSON (NP-C) – Nurse Practitioner, NPI 1174158638

MRS. ORELE SHANANAE FERGUSON (NP-C) is a healthcare provider. based in Ponca city, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. F02200717 (OK). The NPI Number for MRS. ORELE SHANANAE FERGUSON (NP-C) is 1174158638

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ORELE SHANANAE FERGUSON (NP-C)
NPI
1174158638
Phone
(580) 765-2501
Address
200 WHITE EAGLE DR
Enumeration Date
5 March 2020
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5807652501
Graduation Year
2019 (7 years ago)
PAC ID
7214330323
Group Practice PAC ID
1456324193
Professional Enrollment ID
I20240326002310
Address ID
OK746018315PO200XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MRS. ORELE SHANANAE FERGUSON (NP-C)

  • 200 WHITE EAGLE DR

    PONCA CITY, OK 746018315

    Phone: (580) 765-2501

    Fax: (580) 765-0984

    Type: Mailing

  • 715 GRANDVIEW AVE

    PAWHUSKA, OK 740563201

    Phone: (918) 287-9300

    Fax: (918) 287-6138

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-05-31 • Largest payer in this snapshot: Exact Sciences Corporation ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-31

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: 2024-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210915000087INurse PractitionerTXTBD
I20240326002310INurse PractitionerOKTBD

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.

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

Insurance plans in this area (ZIP 74601)

Loading plans...

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: 1456324193View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for MRS. ORELE SHANANAE FERGUSON (NP-C)?
Save NPI 1174158638 if you need a stable reference for MRS. ORELE SHANANAE FERGUSON (NP-C).
Is MRS. ORELE SHANANAE FERGUSON (NP-C) active in the national directory?
MRS. ORELE SHANANAE FERGUSON (NP-C)'s public NPI profile is in an active state.
Can you summarize MRS. ORELE SHANANAE FERGUSON (NP-C)'s specialty in plain language?
Clinically, the directory lists MRS. ORELE SHANANAE FERGUSON (NP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. ORELE SHANANAE FERGUSON (NP-C)?
The page summarizes Ponca City, Oklahoma for MRS. ORELE SHANANAE FERGUSON (NP-C); expand the address list for detail.
What if Ponca City, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

SARA M BECKER (ARNP)

Nurse Practitioner
609 Virginia Ave
NPI: 1467684464

TRACY SUE OGDEN (NP)

Nurse Practitioner
1908 N 14TH ST STE 205
NPI: 1861725103
715 GRANDVIEW AVE
NPI: 1730496423

ASHLEY HESSON (APRN-CNP)

Nurse Practitioner
1900 N 14TH ST
NPI: 1356723654

SHANNON BRUEY

Nurse Practitioner
1202 W FARM RD
NPI: 1265985717

REBEKAH SANDERS (APRN,FNP)

Nurse Practitioner
114, North 14th Street, Ponca City, Kay County, Oklahoma, 74601, United States
NPI: 1154837763
155 WHITWORTH AVE
NPI: 1245811355

SHANNON RENAE SOMERS

Nurse Practitioner
104 S 4TH ST
NPI: 1205557303

TABBIE WARDEN (NP)

Nurse Practitioner
2501 N 14TH ST
NPI: 1316892391