ETHAN J FERGUSON FNP
NPI 1356267645
Nurse Practitioner - Family in Knoxville, TN

Q: What is Ethan Ferguson's NPI number?

The NPI number for Ethan Ferguson is 1356267645. It was assigned to this individual provider in the NPPES registry on June 29, 2026.

Q: What is Ethan Ferguson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Ferguson was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 June 29, 2026PECOS Enrolled

8635 MIDDLEBROOK PIKE, KNOXVILLE, TN 37923(865) 824-0079(833) 908-2101 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ethan J Ferguson Fnp NPPES

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

ETHAN J FERGUSON FNP (NPI 1356267645) is an individual family provider in Knoxville, Tennessee, licensed in Tennessee (38447) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1356267645

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameETHAN J FERGUSONCredential: FNP

Location Address8635 MIDDLEBROOK PIKEKnoxville, TN 37923-1612

Mailing Address1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383 · (865) 584-4747 · Fax (865) 381-1509

Phone(865) 824-0079

Fax(833) 908-2101

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1356267645 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 TN · 38447

8635 MIDDLEBROOK PIKE, Knoxville, TN 37923

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan J Ferguson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870050842

PECOS Enrollment IDI20260810002171

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 Ethan Ferguson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group, PLLC

Same address

Family Medicine

8635 MIDDLEBROOK PIKE
Knoxville, TN 37923

Reassigned Medicare billing, Tennessee enrollment
1,003 clinicians in this Medicare group

NPI 1699291047 (865) 824-0079

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 37923 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 20

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

JAKE MILTON TREY TERRY III NP

Nurse Practitioner