Kelly Lynn Ferguson, AGACNP in Grapevine, TX - Medicare Nurse Practitioner

Kelly Lynn Ferguson, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Grapevine, Texas. Her current practice location is 2020 W State Highway 114 Ste 200, Grapevine, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 912-8400.

Kelly Lynn Ferguson is licensed to practice in Texas (license number 2022012572) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174247217.

Contact Information

	Kelly Lynn Ferguson, AGACNP
	2020 W State Highway 114 Ste 200, Grapevine, TX 76051-8648
	(817) 912-8400
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Lynn Ferguson
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2020 W State Highway 114 Ste 200, Grapevine, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174247217
Provider Enumeration Date: 10/03/2022
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 9739551599
Enrollment ID: I20230206000603

Medical Identifiers

Medical identifiers for Kelly Lynn Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174247217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	2022012572 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Lynn Ferguson allows following entities to bill medicare on her behalf.

Entity Name	Healthtexas Provider Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Lynn Ferguson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Lynn Ferguson, AGACNP 2020 W State Highway 114 Ste 200, Grapevine, TX 76051-8648 Ph: (817) 912-8400	Kelly Lynn Ferguson, AGACNP 2020 W State Highway 114 Ste 200, Grapevine, TX 76051-8648 Ph: (817) 912-8400

Reviews and Comments

Nurse Practitioner Nurses in Grapevine, TX

Mrs. Evelyn Carol Ting, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1054 Texan Trail, Suite 100, Grapevine, TX 76051 Phone: 817-424-2113 Fax: 817-439-6839
Tiffany Marie Woods, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 N Park Blvd Ste 114, Grapevine, TX 76051 Phone: 817-488-7771
Kimberly Loraine Kammerer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Lancaster Dr Ste 10b, Grapevine, TX 76051 Phone: 817-576-6665
Deborah Vaughan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1602 Lancaster Dr, Suite 102, Grapevine, TX 76051 Phone: 817-329-8364 Fax: 817-329-1285
Mrs. Phillipa Ifeoma Modebelu, RN/NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3701 Ira E Woods Ave, Grapevine, TX 76051 Phone: 866-389-2727
Ronald G Kimmel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Ira E Woods Ave, Ste. 600, Grapevine, TX 76051 Phone: 817-488-9991
Nicole Aschenbrenner, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 W College St, Grapevine, TX 76051 Phone: 817-481-1588

Kelly Lynn Ferguson, AGACNP - Medicare Nurse Practitioner in Grapevine, TX