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JOLYN FERGON N.P., C.N.M
NPI 1104934033
Nurse Practitioner - Obstetrics & Gynecology in Palm Springs, CA

Active since August 29, 2006PECOS Enrolled
1100 N PALM CANYON DR STE 212, PALM SPRINGS, CA 92262(760) 327-7900(760) 327-7905 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jolyn Fergon N.p., C.n.m NPPES

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

JOLYN FERGON N.P., C.N.M (NPI 1104934033) is an individual obstetrics & gynecology provider in Palm Springs, California, licensed in California (NP10593) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104934033
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameJOLYN FERGONCredential: N.P., C.N.M
Location Address1100 N PALM CANYON DR STE 212Palm Springs, CA 92262-4426
Mailing Address1100 N Palm Canyon Dr Ste 212Palm Springs, CA 92262-4426 · (760) 327-7900 · Fax (760) 327-7905
Phone(760) 327-7900
Fax(760) 327-7905
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateJune 19, 2014
✔ NPI 1104934033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in CA · NP10593
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 1727 (CA)
1100 N PALM CANYON DR STE 212, Palm Springs, CA 92262
Open in Google Maps ↗

Other Identifiers 4

OtherZZZ27958ZCA · Medicare Group Id
MedicaidGR0101241CA
MedicaidGR0101242CA
MedicaidGR0101240CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jolyn Fergon N.p., C.n.m 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.

Medicare Billing Reassignment

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

Advanced Women's Healthcare, A Medical Corporation
0.1 mi
Obstetrics & Gynecology
1180 N INDIAN CANYON DR STE W300
Palm Springs, CA 92262
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1134237993 (760) 327-7900

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 92262 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

TATIANA SHIDAKI WHNP
Nurse Practitioner (Women's Health)
1100 N PALM CANYON DR STE 212
PALM SPRINGS, CA 92262
Riverside County (760) 327-7900
ELOISA AGATEP FNP
Nurse Practitioner (Obstetrics & Gynecology)
1100 N PALM CANYON DR STE 212
PALM SPRINGS, CA 92262
Riverside County (760) 327-7900

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 Jolyn Fergon's NPI number?

The NPI number for Jolyn Fergon is 1104934033. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Jolyn Fergon located?

Jolyn Fergon practices at 1100 N Palm Canyon Dr Ste 212, Palm Springs, CA 92262. The listed phone number is (760) 327-7900.

What is Jolyn Fergon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Jolyn Fergon enrolled in Medicare?

Yes. Jolyn Fergon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jolyn Fergon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jolyn Fergon reassigns Medicare benefits to Advanced Women's Healthcare, A Medical Corporation (Palm Springs, CA). 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 Jolyn Fergon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jolyn Fergon was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.