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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TISHANNA N FERGUSON MD
NPI 1023759180
Obstetrics & Gynecology in Grand Rapids, MI

Active since April 05, 2022PECOS Enrolled
221 MICHIGAN ST NE STE 600, GRAND RAPIDS, MI 49503(616) 774-7035 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2026, Apr 5, 2022 (2 updates tracked since 2022).

About Tishanna N Ferguson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TISHANNA N FERGUSON MD (NPI 1023759180) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (4301516642) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023759180
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTISHANNA N FERGUSONCredential: MD
Location Address221 MICHIGAN ST NE STE 600Grand Rapids, MI 49503-2540
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 774-7035
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 5, 2022
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1023759180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301516642
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
221 MICHIGAN ST NE STE 600, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tishanna N Ferguson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991183709
PECOS Enrollment IDI20260805002301
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tishanna Ferguson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spectrum Health Primary Care Partners
0.1 mi
Internal Medicine
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1689499667 (616) 486-6790

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRITTANY ANN MERRIFIELD MD
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Kent County (616) 774-7035
DR. MICHAEL SHAWN WERKEMA M.D.
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Kent County (616) 774-7035
MADELINE ROSS MD
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Kent County (616) 267-5410
KATHERINE MARY O'ROURKE MD
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Kent County (616) 774-7035
DR. ADRIENNE NOELLE BROWN M.D.
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Kent County (616) 774-7035
MS. KATHLEEN MARY HASCHER FNP-BC
Nurse Practitioner (Family)
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Kent County (616) 774-7035
ELIZABETH JELINEK WHITE DO
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Kent County (616) 774-7035
DR. AMANDA MARIE MEULENBERG MD
Obstetrics & Gynecology
221 MICHIGAN ST NE STE 600
GRAND RAPIDS, MI 49503
Kent County (616) 774-7035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tishanna Ferguson's NPI number?

The NPI number for Tishanna Ferguson is 1023759180. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Tishanna Ferguson located?

Tishanna Ferguson practices at 221 Michigan St NE Ste 600, Grand Rapids, MI 49503. The listed phone number is (616) 774-7035.

What is Tishanna Ferguson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tishanna Ferguson enrolled in Medicare?

Yes. Tishanna Ferguson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tishanna Ferguson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tishanna Ferguson reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tishanna Ferguson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tishanna Ferguson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Tishanna Ferguson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tishanna Ferguson was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.