KEVIN JOHN FERGUSON NP-C
NPI 1407056013
Nurse Practitioner in South Haven, MI
About Kevin John Ferguson Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN JOHN FERGUSON NP-C (NPI 1407056013) is an individual nurse practitioner in South Haven, Michigan, licensed in Michigan (4704218229) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin John Ferguson Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kevin Ferguson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Haven, MI 49090
- Reassigned Medicare billing, Michigan enrollment
- 190 clinicians in this Medicare group
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 49090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Kevin Ferguson's NPI number?
The NPI number for Kevin Ferguson is 1407056013. It was assigned to this individual provider in the NPPES registry on July 21, 2007.
Where is Kevin Ferguson located?
Kevin Ferguson practices at 955 S Bailey Ave, South Haven, MI 49090. The listed phone number is (269) 639-5271.
What is Kevin Ferguson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kevin Ferguson enrolled in Medicare?
Yes. Kevin Ferguson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kevin Ferguson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Ferguson reassigns Medicare benefits to Bronson South Haven Hospital (South Haven, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Ferguson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kevin Ferguson was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kevin John Ferguson, NP-C · NPI 1407056013
Nurse Practitioner physician in South Haven, Michigan. Individual provider, active in the CMS NPPES registry since July 21, 2007.
## Identity
- **NPI:** 1407056013 (Entity type: Individual)
- **Enumerated:** July 21, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704218229 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 955 S BAILEY AVE, South Haven, MI 49090-6743
- **Phone:** (269) 639-5271
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bronson South Haven Hospital (NPI 1174749170, South Haven, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2016
- **Other identifiers:** Other 1407056013 (MI); Medicare PIN MI4416004; Medicare PIN MI4416
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Source: [NPI Profile](https://npiprofile.com/npi/1407056013) · Data from the CMS NPPES public registry.