MCKENNA COLLIER FERGUSON PA-C
NPI 1679156608
Physician Assistant in Roseburg, OR

Q: What is Mckenna Ferguson's NPI number?

The NPI number for Mckenna Ferguson is 1679156608. It was assigned to this individual provider in the NPPES registry on April 28, 2021. The provider is also known as Mckenna Collier Smith.

Q: What is Mckenna Ferguson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mckenna Ferguson was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 April 28, 2021PECOS Enrolled

621 W MADRONE ST, ROSEBURG, OR 97470(541) 440-3532 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Jan 5, 2024, Apr 28, 2021 (3 updates tracked since 2021).

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About Mckenna Collier Ferguson Pa-c NPPES

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

MCKENNA COLLIER FERGUSON PA-C (NPI 1679156608) is an individual physician assistant in Roseburg, Oregon, licensed in Oregon (PA223194) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679156608

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMCKENNA COLLIER FERGUSONCredential: PA-C

Location Address621 W MADRONE STRoseburg, OR 97470-3090

Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691

Phone(541) 440-3532

Sole ProprietorYes

Enumeration DateApril 28, 2021

Last NPPES UpdateMarch 17, 20253 updates tracked since enumeration

NPPES CertifiedMarch 17, 2025

✔ NPI 1679156608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OR · PA223194

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 13768000-1206 (UT)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

621 W MADRONE ST, Roseburg, OR 97470

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Other Names 1

Former Name (1)Mckenna Collier Smith

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare 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)

Mckenna Collier 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97470 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

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.

WILLIAM F SHOBE JR. LMFT

Marriage & Family Therapist