1. Home
  2. Directory
  3. Ohio
  4. Columbus
  5. Nurse Practitioner
  6. NPI Profile

DIANE FERGUSON PMHNP
NPI 1801534136
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH

Active since May 25, 2022PECOS Enrolled
94.42/100
CMS Quality Rating
1112 N 4TH ST STE 313, COLUMBUS, OH 43201(614) 311-1230 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2024, May 25, 2022 (2 updates tracked since 2022).

About Diane Ferguson Pmhnp NPPES

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

DIANE FERGUSON PMHNP (NPI 1801534136) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Ohio (0031531) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1801534136
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDIANE FERGUSONCredential: PMHNP
Location Address1112 N 4TH ST STE 313Columbus, OH 43201-5100
Mailing Address1112 N 4th St Ste 313Columbus, OH 43201-5100 · (614) 311-1230
Phone(614) 311-1230
Sole ProprietorYes
Enumeration DateMay 25, 2022
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1801534136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · 0031531
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 433041 (OH)
1112 N 4TH ST STE 313, Columbus, OH 43201
Open in Google Maps ↗

Secondary Practice Location 1

Location 14646 Hilton Corporate DrColumbus, OH 43232-4147 · Phone (614) 845-9798

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diane Ferguson Pmhnp 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Diane Ferguson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alcove Ventures LLC
122 mi
Psychiatric/Mental Health
10603 DETROIT AVE
Cleveland, OH 44102
  • Reassigned Medicare billing, Ohio enrollment
  • 100 clinicians in this Medicare group
NPI 1093191322 (844) 291-4535
West Virginia Psych. Services PLLC
123 mi
Psychiatric/Mental Health
47 WASHINGTON AVE # 168
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 24 clinicians in this Medicare group
NPI 1407427321 (615) 334-5078
P360 Care Services PLLC Dba Psych 360
150 mi
Psychiatric/Mental Health
246 FRIENDSHIP CIR
Beaver, PA 15009
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 37 clinicians in this Medicare group
NPI 1750058202 (844) 291-4535
Grow Healthcare Group PA
993 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio enrollment
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Cnp Operating Co LLC
  • Reassigned Medicare billing, Ohio enrollment
  • 105 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
129 services45 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
64 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43201 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

94.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.28
Improvement Activities40
Cost58.55

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 Diane Ferguson's NPI number?

The NPI number for Diane Ferguson is 1801534136. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Where is Diane Ferguson located?

Diane Ferguson practices at 1112 N 4th St Ste 313, Columbus, OH 43201. The listed phone number is (614) 311-1230.

What is Diane Ferguson's specialty?

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

Is Diane Ferguson enrolled in Medicare?

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

Which organizations bill Medicare for Diane Ferguson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diane Ferguson reassigns Medicare benefits to 5 organizations: Alcove Ventures LLC (Cleveland, OH), West Virginia Psych. Services PLLC (Wheeling, WV), P360 Care Services PLLC Dba Psych 360 (Beaver, PA), Grow Healthcare Group PA (Miami, FL) and Cnp Operating Co LLC (OH). Each 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 Diane Ferguson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diane Ferguson accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Diane Ferguson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diane Ferguson was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.