MRS. SUSANNA FERGUSON (RN, FNP) – Family Nurse Practitioner, NPI 1669922100

MRS. SUSANNA FERGUSON (RN, FNP) is a healthcare provider. based in Ennis, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, FNP. They hold a License No. AP131800 (TX). The NPI Number for MRS. SUSANNA FERGUSON (RN, FNP) is 1669922100

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSANNA FERGUSON (RN, FNP)
NPI
1669922100
Phone
(214) 732-6714
Address
802 W LAMPASAS ST
Enumeration Date
7 October 2016
Last Update Date
7 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9728754700320
Graduation Year
2016 (10 years ago)
PAC ID
6901188184
Group Practice PAC ID
5991779597
Professional Enrollment ID
I20170424000640
Address ID
TX751194536EN802XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for MRS. SUSANNA FERGUSON (RN, FNP)

  • 802, West Lampasas Street, Ennis, Ellis County, Texas, 75119, United States

    ENNIS, TX 751194536

    Phone: (214) 732-6714

    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 54 Open Payments records for all available years, with a total value of $1,038.

Total Amount is formed as General ($1,038) + Research ($0) + Ownership ($0) = $1,038.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Amgen Inc. ($191).

Total Amount

$1,038

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,038

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2017-04-24

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
I20170424000640INurse PractitionerTXTBD

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 75119)

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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: 5991779597View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX
Internal MedicineTX

Reviews

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Frequently asked questions

Is MRS. SUSANNA FERGUSON (RN, FNP) listed with a National Provider Identifier?
Yes — MRS. SUSANNA FERGUSON (RN, FNP) has NPI 1669922100 on file in the registry.
Is there an active status for MRS. SUSANNA FERGUSON (RN, FNP)?
For scheduling context, MRS. SUSANNA FERGUSON (RN, FNP) is shown as active in the registry.
What clinical focus is listed for MRS. SUSANNA FERGUSON (RN, FNP)?
At a glance, MRS. SUSANNA FERGUSON (RN, FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. SUSANNA FERGUSON (RN, FNP)?
Travel planning: use Ennis, Texas as the reference point for MRS. SUSANNA FERGUSON (RN, FNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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