KIMBERLY TRIPLETT FERGUSON MD
NPI 1306409602
Pediatrics in Jacksonville, FL

Q: What is Kimberly Ferguson's NPI number?

The NPI number for Kimberly Ferguson is 1306409602. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Q: What is Kimberly Ferguson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Ferguson was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 22, 2019PECOS Enrolled

2121 PARK ST, JACKSONVILLE, FL 32204(904) 387-6200 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Triplett Ferguson Md NPPES

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

KIMBERLY TRIPLETT FERGUSON MD (NPI 1306409602) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME163617) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1306409602

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKIMBERLY TRIPLETT FERGUSONCredential: MD

Location Address2121 PARK STJacksonville, FL 32204-3811

Mailing Address2121 Park StJacksonville, FL 32204-3811 · (904) 387-6200

Phone(904) 387-6200

Sole ProprietorNo

Enumeration DateApril 22, 2019

Last NPPES UpdateAugust 1, 2023

NPPES CertifiedAugust 1, 2023

✔ NPI 1306409602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME163617

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

2121 PARK ST, Jacksonville, FL 32204

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Secondary Practice Location 1

Location 12200 Childrens WayNashville, TN 37232-0005 · Phone (615) 936-2555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Triplett 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 32204 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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Other Providers at the Same Location NPPES 20

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

DR. ANDREAE AREY SHAW M.D.

Pediatrics