KORI ELIZABETH FERGUSON (PA-C) – Physician Assistant, NPI 1437933512

KORI ELIZABETH FERGUSON (PA-C) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5716 (OK). The NPI Number for KORI ELIZABETH FERGUSON (PA-C) is 1437933512

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KORI ELIZABETH FERGUSON (PA-C)
NPI
1437933512
Phone
(580) 763-7693
Address
7005 E OAK RIDGE ST
Enumeration Date
21 August 2023
Last Update Date
3 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184941805
Graduation Year
2025 (1 year ago)
PAC ID
6507344512
Group Practice PAC ID
8820136724
Professional Enrollment ID
I20260131000343
Address ID
OK741363347TU6600XAVEX400
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for KORI ELIZABETH FERGUSON (PA-C)

  • 7005 E OAK RIDGE ST

    BROKEN ARROW, OK 740142894

    Phone: (580) 763-7693

    Type: Mailing

  • 6600 S YALE AVE STE 1200

    TULSA, OK 741363361

    Phone:

    Type: Mailing

  • 6161 S YALE AVE

    TULSA, OK 741361992

    Phone: (918) 494-1805

    Fax: (918) 494-4573

    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: 2026-01-31

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
I20260131000343IPhysician AssistantOKTBD

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 74014)

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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: 8820136724View full group profile
NameSpecialtyState
Nurse PractitionerOK
Orthopedic Surgery, Critical Care (Intensivists)OK
Orthopedic SurgeryOK
Critical Care (Intensivists), Orthopedic SurgeryOK
Orthopedic SurgeryOK
Physician AssistantOK
General SurgeryOK
Physician AssistantOK
General SurgeryOK
General SurgeryOK

Reviews

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Frequently asked questions

What unique ID ties claims to KORI ELIZABETH FERGUSON (PA-C)?
NPI 1437933512 is assigned to KORI ELIZABETH FERGUSON (PA-C) under the national enumeration system.
Is KORI ELIZABETH FERGUSON (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is KORI ELIZABETH FERGUSON (PA-C)?
The page reflects Physician Assistant for KORI ELIZABETH FERGUSON (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for KORI ELIZABETH FERGUSON (PA-C)?
The page summarizes Broken Arrow, Oklahoma for KORI ELIZABETH FERGUSON (PA-C); expand the address list for detail.
How can I contact KORI ELIZABETH FERGUSON (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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