Individual provider Active NPI

Stephanie Ann Murphy, APRN, FNP-C

  • Family Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1104544030
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209025617 Issued in IL
Practice address
1235 N Mulford Rd Ste 222
Rockford, IL 61107-3879
Phone
(815) 397-8400
Fax
(815) 229-0050
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209025617 IL Primary

Addresses

Primary practice location

1235 N Mulford Rd Ste 222
Rockford, IL 61107-3879

Mailing address

1235 N Mulford Rd Ste 222
Rockford, IL 61107-3879
Phone (815) 397-8400

Other practice location 1

1625 S State St
Belvidere, IL 61008-5907
Phone (815) 544-1846

Other names 1

  • Stephanie Ann Hearyman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240508003016 IL Practitioner - Nurse Practitioner 6901276070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Pain Management Services, LTD.Group PAC ID 4284693755, 6 clinicians
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians

Practice addresses (Care Compare)

1235 N Mulford Rd
Suite 222
Rockford, IL 61107-3879
Phone (815) 397-8400

1401 E State St
Rockford, IL 61104-2315
Phone (815) 968-4400

1625 S State St
Sa Medical Center Belvidere
Belvidere, IL 61008-5907
Phone (815) 547-5441

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Swedishamerican Hospital CurrentSince May 17, 2024 Accepting new patients
Swedishamerican Hospital CurrentSince May 17, 2024 Accepting new patients
Swedishamerican Hospital Current Accepting new patients
Medical Pain Management Services, LTD. CurrentSince Apr 22, 2024 Accepting new patients

Locations

1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

2202 Harlem Rd
Loves Park, IL 61111
Phone (815) 877-4848

1235 N Mulford Rd
Ste 222
Rockford, IL 61107
Phone (815) 397-8400

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

1235 N Mulford Rd
Rockford, IL 61107
Phone (815) 397-0077

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGHDAA/Endpoint/JGHDAA

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1104544030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 N MULFORD RD STE 222",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073879",
            "telephone_number": "815-397-8400",
            "fax_number": "815-229-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N MULFORD RD STE 222",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073879",
            "telephone_number": "815-397-8400",
            "fax_number": "815-229-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 S State St",
            "address_purpose": "LOCATION",
            "city": "Belvidere",
            "state": "IL",
            "postal_code": "610085907",
            "country_code": "US",
            "telephone_number": "815-544-1846",
            "fax_number": "815-544-7108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HEARYMAN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.