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TRACEY FERGUSON PMHNP-C
NPI 1629871447
Nurse Practitioner - Psychiatric/Mental Health in Olney, IL

Active since March 28, 2025PECOS Enrolled
1707 E MAIN ST STE 8, OLNEY, IL 62450(812) 618-8573(618) 388-3016 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Apr 30, 2026, Mar 28, 2025 (3 updates tracked since 2025).

About Tracey Ferguson Pmhnp-c NPPES

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

TRACEY FERGUSON PMHNP-C (NPI 1629871447) is an individual psychiatric/mental health provider in Olney, Illinois, licensed in Illinois (209.031329) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629871447
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTRACEY FERGUSONCredential: PMHNP-C
Location Address1707 E MAIN ST STE 8Olney, IL 62450-3156
Mailing Address7860 E Westlake DrRobinson, IL 62454-4898 · (812) 618-8573
Phone(812) 618-8573
Fax(618) 388-3016
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 28, 2025
Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1629871447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in IL · 209.031329✔ Licensed in IL · 309.024347
1707 E MAIN ST STE 8, Olney, IL 62450
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey Ferguson Pmhnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496213837
PECOS Enrollment IDI20260817002054
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 Tracey Ferguson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fergs Quietude Inc
Same address
Psychiatric/Mental Health
1707 E MAIN ST STE 8
Olney, IL 62450
  • Reassigned Medicare billing, Illinois enrollment
NPI 1538002233 (812) 618-8573

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 62450 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 4

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

FOG & FERN PSYCHIATRY, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1707 E MAIN ST STE 8
OLNEY, IL 62450
Richland County (618) 602-2632
YANCI JO SHROYER & ASSOCIATES LLC
Nurse Practitioner (Psychiatric/Mental Health)
1707 E MAIN ST STE 8
OLNEY, IL 62450
Richland County (618) 879-2150
YANCI J SHROYER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1707 E MAIN ST STE 8
OLNEY, IL 62450
Richland County (618) 839-3198
FERGS QUIETUDE INC
Nurse Practitioner (Psychiatric/Mental Health)
1707 E MAIN ST STE 8
OLNEY, IL 62450
Richland County (812) 618-8573

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 Tracey Ferguson's NPI number?

The NPI number for Tracey Ferguson is 1629871447. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Tracey Ferguson located?

Tracey Ferguson practices at 1707 E Main St Ste 8, Olney, IL 62450. The listed phone number is (812) 618-8573.

What is Tracey Ferguson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tracey Ferguson enrolled in Medicare?

Yes. Tracey Ferguson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracey Ferguson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Ferguson reassigns Medicare benefits to Fergs Quietude Inc (Olney, IL). 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 Tracey 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 Tracey Ferguson was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.