Carissa Ferguson, APRN in Charleston, AR - Medicare Nurse Practitioner

Carissa Ferguson, APRN is a medicare enrolled "Nurse Practitioner - Family" in Charleston, Arkansas. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Hospital Booneville, Mercy Clinic Fort Smith Communities, Mercy Hospital Waldron and her current practice location is 107 S Logan St, Charleston, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 573-3120.

Carissa Ferguson is licensed to practice in Arkansas (license number 219161) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649981127.

Contact Information

	Carissa Ferguson, APRN
	107 S Logan St, Charleston, AR 72933-9036
	(479) 573-3120
	(479) 965-2008

Map and Direction

Provider's Profile

Full Name	Carissa Ferguson
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	107 S Logan St, Charleston, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carissa Ferguson graduated from nursing school in 2021

NPI Data:

NPI Number: 1649981127
Provider Enumeration Date: 12/06/2022
Last Update Date: 01/14/2025

Medicare PECOS Information:

PECOS PAC ID: 2264806611
Enrollment ID: I20230327000005

Medical Identifiers

Medical identifiers for Carissa Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649981127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	219161 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Hospital Booneville	1951530385	8
Mercy Clinic Fort Smith Communities	3870668510	305
Mercy Hospital Waldron	5597658005	11

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carissa Ferguson allows following entities to bill medicare on her behalf.

Entity Name	Mercy Hospital Waldron
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730137134 PECOS PAC ID: 5597658005 Enrollment ID: O20040211000825

Entity Name	Mercy Clinic Fort Smith Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789

Entity Name	Mercy Hospital Paris
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518915321 PECOS PAC ID: 0244135705 Enrollment ID: O20090402000673

Entity Name	Mercy Hospital Booneville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083004733 PECOS PAC ID: 1951530385 Enrollment ID: O20170203001490

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carissa Ferguson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carissa Ferguson, APRN Po Box 776084, Chicago, IL 60677-6084 Ph: (314) 543-6979	Carissa Ferguson, APRN 107 S Logan St, Charleston, AR 72933-9036 Ph: (479) 573-3120

Reviews and Comments

Nurse Practitioner Nurses in Charleston, AR

Mr. Robert Jack Langston, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120
Mrs. Melea Mccormick, SANE-A/P, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120
Tania Kay Barham, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Main St, Charleston, AR 72933 Phone: 479-208-1880
Joann Michele Cain, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120 Fax: 479-965-2008
Richard Scott Savage, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120 Fax: 479-965-2008
Timbi D West, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1006 E Main Street, Charleston, AR 72933 Phone: 479-965-7702 Fax: 479-965-2180
Michelle Davis, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 Tiger Dr, Charleston, AR 72933 Phone: 479-965-0806 Fax: 479-965-0807

Carissa Ferguson, APRN - Medicare Nurse Practitioner in Charleston, AR