NPIMap

Individual provider Active NPI

Kameron Joseph Murray, MSPAS

  • Physician Assistant
  • Holdrege, NE
National Provider Identifier
1174248389
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1315 Tibbals St
Holdrege, NE 68949-1257
Phone
(308) 995-6111
NPI assigned
Oct 10, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 NU Primary

Addresses

Primary practice location

1315 Tibbals St
Holdrege, NE 68949-1257

Mailing address

2015 Spalding Dr
Holdrege, NE 68949-1033
Phone (314) 616-6168

Other practice location 1

1215 Tibbals St
Holdrege, NE 68949-1261
Phone (314) 616-6168

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221210000331 NE Practitioner - Physician Assistant 5991174104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phelps Memorial Health CenterGroup PAC ID 9931011947, shared by 4 NPIs, 35 clinicians

Practice addresses (Care Compare)

1215 Tibbals St
Holdrege, NE 68949-1255
Phone (308) 995-2211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.2 of 100Reported as group
Quality
88.55
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phelps Memorial Health Center Current Accepting new patients
Phelps Memorial Health Center Physician Assistant CurrentSince Nov 1, 2022 Accepting new patients
Phelps Memorial Health Center Physician Assistant CurrentSince Nov 1, 2022 Accepting new patients

Locations

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

1315 Tibbals St
Holdrege, NE 68949
Phone (308) 995-6111

Organizations & group practices 3

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 6

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1174248389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 SPALDING DR",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491033",
            "telephone_number": "314-616-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 TIBBALS ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491257",
            "telephone_number": "308-995-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Tibbals St",
            "address_purpose": "LOCATION",
            "city": "Holdrege",
            "state": "NE",
            "postal_code": "689491261",
            "country_code": "US",
            "telephone_number": "314-616-6168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KAMERON",
        "middle_name": "JOSEPH",
        "credential": "MSPAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

Verify at the official NPI Registry.