Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jay Michael Ferguson, PA-C

Individual provider Physician Assistant · NPI 1174690853

Jay Michael Ferguson, PA-C is a Physician Assistant in Superior, Wisconsin. Qualified in 1995, 31 years ago. Practices with The Duluth Clinic Ltd, a 1,127-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
31
Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3500 Tower Ave
Superior, WI 54880-5335
Phone: (715) 395-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9175 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 1802 (WI)

Record details

NPI number1174690853
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021
Mailing address3500 Tower Ave, Superior, WI 54880-5335

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice The Duluth Clinic Ltd — 1127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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