| Ms Christina Mae Ferguson, FNP-C | |
|
1000 Health Center Rd., Kyle, SD 57752 | |
| (605) 455-2451 | |
| (605) 455-1529 |
| Full Name | Ms Christina Mae Ferguson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1000 Health Center Rd., Kyle, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427473164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R041929 (South Dakota) | Secondary |
| 363L00000X | Nurse Practitioner | CP003158 (South Dakota) | Primary |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Christina Mae Ferguson, FNP-C Po Box 540, Kyle, SD 57752-0540 Ph: (605) 455-2451 | Ms Christina Mae Ferguson, FNP-C 1000 Health Center Rd., Kyle, SD 57752 Ph: (605) 455-2451 |
Susan J Walden, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Road, Kyle, SD 57752 Phone: 605-455-2451 |