Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Andrew Fergus, APNP

Individual provider Registered Nurse · NPI 1972836633

Mr. Mark Andrew Fergus, APNP is a Nurse Practitioner in De Pere, Wisconsin. Qualified in 2009, 17 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
17
Licensed in
WI
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

555 Redbird Cir Ste 300
De Pere, WI 54115-7980
Phone: (920) 338-6870
Fax: (920) 338-6829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 815 Jefferson St, Algoma, WI 54201-1733 — (920) 487-4888

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3840-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 138144 (WI)

Record details

NPI number1972836633
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedSeptember 14, 2009
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024
Mailing address323 S 18th Ave, Sturgeon Bay, WI 54235-1401

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in De Pere