Kelly Lynn Ferguson, AGACNP - Medicare Nurse Practitioner in Grapevine, TX

  1. Home
  2. Nurse Practitioner
  3. TX
  4. Grapevine
Kelly Lynn Ferguson, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Grapevine, Texas. Her current practice location is 2020 W State Highway 114 Ste 200, Grapevine, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 912-8400.

Kelly Lynn Ferguson is licensed to practice in Texas (license number 2022012572) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174247217.

Contact Information

Kelly Lynn Ferguson, AGACNP
2020 W State Highway 114 Ste 200,
Grapevine, TX 76051-8648
(817) 912-8400
Not Available

Map and Direction




Provider's Profile

Full NameKelly Lynn Ferguson
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location2020 W State Highway 114 Ste 200, Grapevine, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174247217
  • Provider Enumeration Date: 10/03/2022
  • Last Update Date: 10/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9739551599
  • Enrollment ID: I20230206000603

Medical Identifiers

Medical identifiers for Kelly Lynn Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174247217NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 2022012572 (Texas)Primary

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. Kelly Lynn Ferguson allows following entities to bill medicare on her behalf.
Entity NameHealthtexas Provider Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187

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. Kelly Lynn 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 AddressPractice Location Address
Kelly Lynn Ferguson, AGACNP
2020 W State Highway 114 Ste 200,
Grapevine, TX 76051-8648

Ph: (817) 912-8400		Kelly Lynn Ferguson, AGACNP
2020 W State Highway 114 Ste 200,
Grapevine, TX 76051-8648

Ph: (817) 912-8400

Reviews and Comments


Nurse Practitioner Nurses in Grapevine, TX

Mrs. Evelyn Carol Ting, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1054 Texan Trail, Suite 100, Grapevine, TX 76051
Phone: 817-424-2113    Fax: 817-439-6839
Cassidy Sklar, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4109 Heartstone Dr, Grapevine, TX 76051
Phone: 817-932-2026    
Tiffany Marie Woods, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 220 N Park Blvd Ste 114, Grapevine, TX 76051
Phone: 817-488-7771    
Kimberly Loraine Kammerer, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Lancaster Dr Ste 10b, Grapevine, TX 76051
Phone: 817-576-6665    
Deborah Vaughan, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1602 Lancaster Dr, Suite 102, Grapevine, TX 76051
Phone: 817-329-8364    Fax: 817-329-1285
Mrs. Phillipa Ifeoma Modebelu, RN/NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3701 Ira E Woods Ave, Grapevine, TX 76051
Phone: 866-389-2727    
Ronald G Kimmel, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2401 Ira E Woods Ave, Ste. 600, Grapevine, TX 76051
Phone: 817-488-9991    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.