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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.

BETHANY JOY WINFREY FERGUSON FNP-BC
NPI 1235505108
Nurse Practitioner - Family in Peoria, IL

Active since August 14, 2015PECOS Enrolled
1800 N KNOXVILLE AVE STE A, PEORIA, IL 61603(309) 680-7600(309) 495-8614 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethany Joy Winfrey Ferguson Fnp-bc NPPES

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

BETHANY JOY WINFREY FERGUSON FNP-BC (NPI 1235505108) is an individual family provider in Peoria, Illinois, licensed in Illinois (209-013059) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1235505108
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBETHANY JOY WINFREY FERGUSONCredential: FNP-BC
Location Address1800 N KNOXVILLE AVE STE APeoria, IL 61603-3005
Mailing Address2214 N University StPeoria, IL 61604-3221 · (309) 680-7600
Phone(309) 680-7600
Fax(309) 495-8614
Sole ProprietorNo
Enumeration DateAugust 14, 2015
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1235505108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209-013059
1800 N KNOXVILLE AVE STE A, Peoria, IL 61603
Open in Google Maps ↗

Secondary Practice Location 1

Location 12321 N Wisconsin AvePeoria, IL 61603-5613 · Phone (309) 680-7600 · Fax (309) 681-8620

Other Identifiers 1

Other209-013059IL · Il Apn License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Joy Winfrey Ferguson Fnp-bc 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 61603 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

BENITO CAMACHO MD
Internal Medicine
1800 N KNOXVILLE AVE STE A
PEORIA, IL 61603
Peoria County (309) 680-7600
HEARTLAND COMMUNITY HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
1800 N KNOXVILLE AVE STE A
PEORIA, IL 61603
Peoria County (309) 680-7600

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 Bethany Ferguson's NPI number?

The NPI number for Bethany Ferguson is 1235505108. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Where is Bethany Ferguson located?

Bethany Ferguson practices at 1800 N Knoxville Ave Ste A, Peoria, IL 61603. The listed phone number is (309) 680-7600.

What is Bethany Ferguson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bethany Ferguson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bethany Ferguson was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.