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

Q: 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.

Q: What is Tishanna Ferguson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tishanna Ferguson was last updated on June 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 05, 2022PECOS Enrolled

330 BARCLAY AVE NE STE 304, GRAND RAPIDS, MI 49503(616) 391-6243 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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 (4351049565) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023759180

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameTISHANNA N FERGUSONCredential: MD

Location Address330 BARCLAY AVE NE STE 304Grand Rapids, MI 49503-2527

Mailing Address330 Barclay Ave Ne Ste 304Grand Rapids, MI 49503-2527 · (616) 391-6243

Phone(616) 391-6243

Sole ProprietorNo

Enumeration DateApril 5, 2022

Last NPPES UpdateJune 23, 2022

NPPES CertifiedJune 23, 2022

✔ NPI 1023759180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 4351049565

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

330 BARCLAY AVE NE STE 304, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

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