BRETT ANTHONY FERGUSON
NPI 1053897215
Nurse Practitioner - Adult Health in Jennings, MO

Active since July 11, 2018PECOS EnrolledAccepts Medicare Assignment
8033 W FLORISSANT AVE STE A, JENNINGS, MO 63136(314) 888-0971(314) 408-7062 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2024, Jul 11, 2018 (2 updates tracked since 2018).

About Brett Anthony Ferguson NPPES

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

BRETT ANTHONY FERGUSON (NPI 1053897215) is an individual adult health provider in Jennings, Missouri, licensed in Missouri (2009032382) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and maintains a secondary practice location in Bonne Terre.

NPPES Registry Identity

NPI1053897215
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameBRETT ANTHONY FERGUSON
Location Address8033 W FLORISSANT AVE STE AJennings, MO 63136-1412
Mailing AddressPo Box 740019Atlanta, GA 30374-0019 · (312) 733-9730 · Fax (773) 866-8014
Fax(314) 408-7062
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 11, 2018
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1053897215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MO · 2009032382
8033 W FLORISSANT AVE STE A, Jennings, MO 63136

Secondary Practice Location 1

Location 12727 Highway KBonne Terre, MO 63628-3430 · Phone (573) 358-5516 ext. 1639 · Fax (573) 358-0917

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brett Anthony Ferguson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769910157
PECOS Enrollment IDI20250113003162
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63136 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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 2

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

Nurse Practitioner
8033 W FLORISSANT AVE STE A
JENNINGS, MO 63136
Nurse Practitioner (Psychiatric/Mental Health)
8033 W FLORISSANT AVE STE A
SAINT LOUIS, MO 63136

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 Brett Ferguson's NPI number?

The NPI number for Brett Ferguson is 1053897215. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Brett Ferguson located?

Brett Ferguson practices at 8033 W Florissant Ave Ste A, Jennings, MO 63136. The listed phone number is (314) 888-0971.

What is Brett Ferguson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Brett Ferguson enrolled in Medicare?

Yes. Brett Ferguson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Brett Ferguson affiliated with any hospitals?

According to CMS data, Brett Ferguson is affiliated with Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Brett Ferguson was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.