Individual provider Active NPI

Kelly L Murphy, PA-C

  • Physician Assistant
  • Wakefield, RI
National Provider Identifier
1154977221
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01164 Issued in RI
Practice address
1 High St
Wakefield, RI 02879-3103
Phone
(401) 777-7000
Fax
(401) 782-6810
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01164 RI Primary

Addresses

Primary practice location

1 High St
Wakefield, RI 02879-3103

Mailing address

200 Crossings Blvd Ste 310
Warwick, RI 02886-2872
Phone (401) 777-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20191004000969 RI Practitioner - Physician Assistant 2163753245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians

Practice addresses (Care Compare)

10 High St
Wakefield, RI 02879-3176
Phone (401) 777-7000

285 Promenade St
Providence, RI 02908-5794
Phone (401) 777-7000

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

900 Warren Ave
Suite 202
East Providence, RI 02914-1430
Phone (401) 777-7000

Hospital & facility affiliations

  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc CurrentSince Sep 3, 2019 Accepting new patients
Orthopedics Rhode Island, Inc Physician Assistant CurrentSince Sep 3, 2019 Accepting new patients

Locations

900 Warren Ave
Ste 202
East Providence, RI 02914

70 Kenyon Ave
Ste 100
Wakefield, RI 02879

1 High St
Wakefield, RI 02879
Phone (401) 789-1422

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

200 Crossings Blvd
Ste 310
Warwick, RI 02886

Organizations & group practices 2

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1154977221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CROSSINGS BLVD STE 310",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862872",
            "telephone_number": "401-777-7000",
            "fax_number": "401-782-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793103",
            "telephone_number": "401-777-7000",
            "fax_number": "401-782-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.