Individual provider Active NPI

Michaela Marie Murphy, AGPCNP

  • Adult Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1023520038
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F308481-1 Issued in NY
Practice address
104 Union Ave Ste 901
Syracuse, NY 13203-1845
Phone
(315) 703-5102
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F308481-1 NY Primary

Addresses

Primary practice location

104 Union Ave Ste 901
Syracuse, NY 13203-1845

Mailing address

104 Union Ave Ste 901
Syracuse, NY 13203-1845
Phone (315) 703-5073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180111001726 NY Practitioner - Nurse Practitioner 6901165265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

550 Harrison St
Syracuse, NY 13202-3188
Phone (315) 464-8093

90 Presidential PLZ
Syracuse, NY 13202-2240
Phone (315) 464-8093

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F308481-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Physician Health, P.C. CurrentSince Nov 13, 2017 Accepting new patients
Suny Health Science Center at Syracuse Adult Health CurrentSince Sep 9, 2021 Accepting new patients
St Josephs Medical PC CurrentSince Oct 1, 2018 Accepting new patients
Suny Health Science Center at Syracuse CurrentSince Sep 9, 2021 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients

Locations

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

90 Presidential Plz
Fl 2
Syracuse, NY 13202
Phone (315) 464-3833

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

104 Union Ave
Ste 901
Syracuse, NY 13203
Phone (315) 703-5102

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

90 Presidential Plz
#2C
Syracuse, NY 13202

Interoperability endpoints

  • Direct secure messaging: mmurphy121389@direct.upstate.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1023520038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 UNION AVE STE 901",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031845",
            "telephone_number": "315-703-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 UNION AVE STE 901",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031845",
            "telephone_number": "315-703-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MICHAELA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308481-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.