GLENN EUGENE FERGUSON PHD
NPI 1922391994
Psychologist - Clinical in Espanola, NM
About Glenn Eugene Ferguson Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENN EUGENE FERGUSON PHD (NPI 1922391994) is an individual clinical provider in Espanola, New Mexico, licensed in New Mexico (PSY-2022-0061) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Littleton, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Glenn Eugene Ferguson Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Glenn Ferguson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Espanola, NM 87532
- Reassigned Medicare billing, New Mexico enrollment
- 17 clinicians in this Medicare group
Littleton, CO 80120
- Reassigned Medicare billing, Colorado enrollment
- 9 clinicians in this Medicare group
Ewing, NJ 08628
- Reassigned Medicare billing, New Jersey enrollment
- 27 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ESPANOLA, NM 87532
ESPANOLA, NM 87532
ESPANOLA, NM 87532
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 Glenn Ferguson's NPI number?
The NPI number for Glenn Ferguson is 1922391994. It was assigned to this individual provider in the NPPES registry on May 24, 2011.
Where is Glenn Ferguson located?
Glenn Ferguson practices at 206 S Coronado Ave, Espanola, NM 87532. The listed phone number is (860) 788-6404.
What is Glenn Ferguson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Glenn Ferguson enrolled in Medicare?
Yes. Glenn Ferguson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Glenn Ferguson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Ferguson reassigns Medicare benefits to 3 organizations: Meditelecare Of New Mexico, LLC (Espanola, NM), Meditelecare Of Colorado LLC (Littleton, CO) and Meditelecare Of New Jersey LLC (Ewing, NJ). 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 Glenn 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 Glenn Ferguson was last updated on July 8, 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.
# Glenn Eugene Ferguson, PHD · NPI 1922391994
Clinical provider in Espanola, New Mexico. Individual provider, active in the CMS NPPES registry since May 24, 2011.
## Identity
- **NPI:** 1922391994 (Entity type: Individual)
- **Enumerated:** May 24, 2011
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY-2022-0061 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 206 S CORONADO AVE, Espanola, NM 87532-2792
- **Phone:** (860) 788-6404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Meditelecare Of New Mexico, LLC (NPI 1629639729, Espanola, NM); Meditelecare Of Colorado LLC (NPI 1407471774, Littleton, CO); Meditelecare Of New Jersey LLC (NPI 1639750797, Ewing, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** July 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1922391994) · Data from the CMS NPPES public registry.