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

MS. Kimberly Nicole Ferguson, PA-C

Individual provider Medical Physician Assistant · NPI 1629702733

MS. Kimberly Nicole Ferguson, PA-C is a Physician Assistant in Newark, Delaware. Qualified in 2022, 4 years ago. Licensed in Delaware.

Years since qualifying
4
Licensed in
DE
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

875 Aaa Blvd Ste C
Newark, DE 19713-3624
Phone: (302) 918-6400
Fax: (302) 543-6002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C5-0011757 (DE)

Record details

NPI number1629702733
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2022
Last updated in NPPESJuly 13, 2022
Certification dateJuly 9, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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