MRS. KIMBERLY D FERGUISON MD-PEDIATRICS
NPI 1356306740
Pediatrics in Meridian, ID

Q: What is Kimberly Ferguison's NPI number?

The NPI number for Kimberly Ferguison is 1356306740. It was assigned to this individual provider in the NPPES registry on April 19, 2006. The provider is also known as Kimberly D Granwehr.

Q: What is Kimberly Ferguison's specialty?

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

Active since April 19, 2006PECOS Enrolled

3280 E LANARK DR, MERIDIAN, ID 83642(208) 377-4400(208) 377-4416 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Aug 3, 2021, Mar 2, 2020 and 1 more (4 updates tracked since 2016).

On this page

About Mrs. Kimberly D Ferguison Md-pediatrics NPPES

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

MRS. KIMBERLY D FERGUISON MD-PEDIATRICS (NPI 1356306740) is an individual pediatrics provider in Meridian, Idaho, licensed in Idaho (M9507) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1356306740

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. KIMBERLY D FERGUISONCredential: MD-PEDIATRICS

Location Address3280 E LANARK DRMeridian, ID 83642-5982

Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500 · Fax (208) 955-6501

Phone(208) 377-4400

Fax(208) 377-4416

Sole ProprietorNo

Enumeration DateApril 19, 2006

Last NPPES UpdateApril 25, 20244 updates tracked since enumeration

NPPES CertifiedApril 25, 2024

✔ NPI 1356306740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in ID · M9507

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.

3280 E LANARK DR, Meridian, ID 83642

Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly D Granwehr

Secondary Practice Location 1

Location 13277 E Louise Dr Ste 200Meridian, ID 83642-9351 · Phone (208) 884-2900 · Fax (208) 884-2979

Other Identifiers 4

Other000010154462ID · Blue Shield

Medicaid807354800ID

Other807392600ID · Healthy Connections Mcaid

Other76552ID · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan 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)

Mrs. Kimberly D Ferguison Md-pediatrics 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 83642 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

Leave this field empty

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.

MELISSA MARIE PANNELL RN FNP-BC

Nurse Practitioner