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SAMANTHA RUTH FERGUSON MSN, CPNP
NPI 1174151658
Nurse Practitioner - Pediatrics in Sneads Ferry, NC

Active since March 30, 2020PECOS Enrolled
108 LAKESIDE DR, SNEADS FERRY, NC 28460(910) 327-5437(910) 327-5436 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 1, 2020, Mar 30, 2020 (2 updates tracked since 2020).

About Samantha Ruth Ferguson Msn, Cpnp NPPES

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

SAMANTHA RUTH FERGUSON MSN, CPNP (NPI 1174151658) is an individual pediatrics provider in Sneads Ferry, North Carolina, licensed in North Carolina (5013039) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174151658
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSAMANTHA RUTH FERGUSONCredential: MSN, CPNP
Location Address108 LAKESIDE DRSneads Ferry, NC 28460-9415
Mailing AddressPo Box 986513, Department 100Boston, MA 02298-6513 · (910) 219-8326 · Fax (910) 939-4269
Phone(910) 327-5437
Fax(910) 327-5436
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateDecember 1, 20202 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
✔ NPI 1174151658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NC · 5013039
108 LAKESIDE DR, Sneads Ferry, NC 28460
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Secondary Practice Locations 2

Location 1120 Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-0581 · Fax (910) 353-1351
Location 2118 Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-0581 · Fax (910) 577-1150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Ruth Ferguson Msn, Cpnp 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 Samantha Ferguson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Goshen Medical Center Incorporated
12 mi
Federally Qualified Health Center (FQHC)
1200 HARGETT ST
Jacksonville, NC 28540
  • Reassigned Medicare billing, North Carolina enrollment
  • 173 clinicians in this Medicare group
NPI 1669797700 (910) 219-1082

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 28460 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 3

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

KATHERINE ANNE ALWES FNP
Nurse Practitioner (Family)
108 LAKESIDE DR
SNEADS FERRY, NC 28460
Onslow County (910) 327-5437
MRS. JESSICA DELIA CAMPAGNA LPC
Counselor (Mental Health)
108 LAKESIDE DR
SNEADS FERRY, NC 28460
Onslow County (858) 254-5870
SNEADS FERRY PEDIATRICS PC
Nurse Practitioner (Pediatrics)
108 LAKESIDE DR
SNEADS FERRY, NC 28460
Onslow County (910) 327-5437

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 Samantha Ferguson's NPI number?

The NPI number for Samantha Ferguson is 1174151658. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Samantha Ferguson located?

Samantha Ferguson practices at 108 Lakeside Dr, Sneads Ferry, NC 28460. The listed phone number is (910) 327-5437.

What is Samantha Ferguson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Samantha Ferguson enrolled in Medicare?

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

Which organization bills Medicare for Samantha Ferguson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ferguson reassigns Medicare benefits to Goshen Medical Center Incorporated (Jacksonville, NC). 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 Samantha Ferguson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Ferguson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Cigna Healthcare and 2 other insurers list Samantha 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 Samantha Ferguson was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.