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SUSAN RENE FERGUSON PA-C
NPI 1659635829
Physician Assistant - Medical in Santa Rosa Beach, FL

Active since July 02, 2012PECOS Enrolled
141 MACK BAYOU LOOP STE 101, SANTA ROSA BEACH, FL 32459(850) 863-5990(850) 862-0041 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2020, Dec 9, 2020, Jun 22, 2016 (3 updates tracked since 2016).

About Susan Rene Ferguson Pa-c NPPES

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

SUSAN RENE FERGUSON PA-C (NPI 1659635829) is an individual medical provider in Santa Rosa Beach, Florida, licensed in Florida (9106360) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659635829
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN RENE FERGUSONCredential: PA-C
Location Address141 MACK BAYOU LOOP STE 101Santa Rosa Beach, FL 32459-7194
Mailing Address417a Racetrack Rd Nw Ste 2Fort Walton Beach, FL 32547-4604 · (850) 863-5990 · Fax (850) 862-0041
Phone(850) 863-5990
Fax(850) 862-0041
Sole ProprietorNo
Enumeration DateJuly 2, 2012
Last NPPES UpdateDecember 15, 20203 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
✔ NPI 1659635829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · 9106360
141 MACK BAYOU LOOP STE 101, Santa Rosa Beach, FL 32459
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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)

Susan Rene Ferguson Pa-c 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
145 services115 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients

Other Providers at the Same Location NPPES 2

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

DR. RAPHAEL ALEXANDER RUSYNYK D.O.
Internal Medicine (Gastroenterology)
141 MACK BAYOU LOOP STE 101
SANTA ROSA BEACH, FL 32459
Walton County (850) 863-5990
DR. CHERI COLAGROSS DUNN D.O.,O.D.,M.P.H.
Family Medicine
141 MACK BAYOU LOOP STE 101
SANTA ROSA BEACH, FL 32459
Walton County (850) 267-3498

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 Susan Ferguson's NPI number?

The NPI number for Susan Ferguson is 1659635829. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Susan Ferguson located?

Susan Ferguson practices at 141 Mack Bayou Loop Ste 101, Santa Rosa Beach, FL 32459. The listed phone number is (850) 863-5990.

What is Susan Ferguson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Susan Ferguson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Ferguson was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.