DOMINIQUE MARIE FERGUSON
NPI 1336731884
Emergency Medicine in Jacksonville, FL

Q: What is Dominique Ferguson's NPI number?

The NPI number for Dominique Ferguson is 1336731884. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Q: What is Dominique Ferguson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since February 05, 2021PECOS Enrolled

2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214(904) 542-7300 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2021, Feb 5, 2021 (2 updates tracked since 2021).

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About Dominique Marie Ferguson NPPES

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

DOMINIQUE MARIE FERGUSON (NPI 1336731884) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Virginia (1336731884) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336731884

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDOMINIQUE MARIE FERGUSON

Location Address2080 CHILD ST DEPT 5000Jacksonville, FL 32214-2111

Mailing Address2080 Child St Dept 5000Jacksonville, FL 32214-5000 · (904) 542-7300

Phone(904) 542-7300

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 5, 2021

Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration

NPPES CertifiedJuly 14, 2025

✔ NPI 1336731884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in VA · 1336731884

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2080 CHILD ST DEPT 5000, Jacksonville, FL 32214

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Marie Ferguson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062815715

PECOS Enrollment IDI20260331004651

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 32214 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.

MICHELLE ALICIA COY DNP

Nurse Anesthetist, Certified Registered