Individual provider Active NPI

Lisa Wynette Murphy, MD

  • Obstetrics & Gynecology Physician
  • Modesto, CA
National Provider Identifier
1174506315
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C148024 Issued in CA
Practice address
200 W Coolidge Ave
Modesto, CA 95350-4447
Phone
(209) 577-5005
Fax
(209) 521-1533
NPI assigned
Nov 22, 2005
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 4301056342 MI
Obstetrics & Gynecology Physician 207V00000X 2018-00345 NC
Obstetrics & Gynecology Physician 207V00000X 50015 AZ
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X C148024 CA Primary

Addresses

Primary practice location

200 W Coolidge Ave
Modesto, CA 95350-4447

Mailing address

830 Scenic Dr
Modesto, CA 95350-6131
Phone (209) 558-7248

Other practice location 1

1209 Woodrow Ave Ste B10
Modesto, CA 95350-1273
Phone (209) 558-5312

Other practice location 2

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 795-8188

Other practice location 3

701 Doctors Dr Ste E1
Kinston, NC 28501-1584
Phone (252) 775-5930

Other identifiers 14

IdentifierTypeStateIssuer
160D410050OtherMIBLUE CROSS BLUE SHIELD
160D410050OtherMICOMMUNITY BLUE
4380839MedicaidMI
G93281OtherMIHEALTH NET FEDERAL SERVIC
0982797OtherMIHEALTHPLUS
203333OtherMIHEALTH ADVANTAGE
34649164MedicaidMI
C5869OtherMIMCARE
01338OtherMIAETNA
160D410050OtherMIBLUE CARE NETWORK
203333OtherMIMCLAREN HEALTH PLAN
1602503852OtherMIBLUE CROSS BLUE SHIELD
160D410050OtherMIBLUE CHOICE
G93281OtherMIHAP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmurphy1544891@direct.unc.nchie.net Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150630002473 AZ Practitioner - Obstetrics/Gynecology 1658383179 Reassigns benefits to 1 organization
I20170628003203 CA Practitioner - Obstetrics/Gynecology 1658383179 Reassigns benefits to 3 organizations
I20250421001082 NC Practitioner - Obstetrics/Gynecology 1658383179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of California Medical Group IncGroup PAC ID 9234388745, 12 clinicians

Practice addresses (Care Compare)

1800 N California St
Stockton, CA 95204-6019
Phone (919) 358-5014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50015AZMDObstetrics & Gynecology Physician
C148024CAMDObstetrics & Gynecology Physician
4301056342MIMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Single Specialty Current Accepting new patients
Northeastern Rural Health Clinics CurrentSince Dec 20, 2023 Accepting new patients
Northeastern Rural Health Clinics Single Specialty CurrentSince Dec 20, 2023 Accepting new patients
Vidant Medical Group LLC Single Specialty CurrentSince Aug 19, 2025 Accepting new patients
DHP of California Medical Group Inc Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Rideout Memorial Hospital Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
TMC Medical Network Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Northbay Healthcare Group Single Specialty CurrentSince May 27, 2025 Accepting new patients
Northbay Healthcare Group Single Specialty CurrentSince May 27, 2025 Accepting new patients
Northbay Healthcare Group Single Specialty Current Accepting new patients
Outer Banks Professional Services, LLC Single Specialty CurrentSince Aug 19, 2025 Accepting new patients
First Choice Physician Partners Single Specialty CurrentSince Jan 9, 2020 Accepting new patients
First Choice Physician Partners CurrentSince Jan 9, 2020 Accepting new patients
McLaren Medical Group Single Specialty Past Accepting new patients
Healthy Pregnancy Perinatology, LLC Single Specialty Past Accepting new patients

Locations

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1860 Pennsylvania Ave
Ste 300
Fairfield, CA 94533
Phone (707) 438-2735

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1541 Florida Ave
Modesto, CA 95350

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

200 W Coolidge Ave
Modesto, CA 95350
Phone (209) 521-1533

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1850 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 251-5000

1850 Spring Ridge Dr
Ste 1850
Susanville, CA 96130

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

701 Doctors Dr
Ste E1
Kinston, NC 28501
Phone (252) 522-4446

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

Interoperability endpoints

  • Direct secure messaging: lmurphy546071@hisp.ehr.sutterhealth.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1174506315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SCENIC DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506131",
            "telephone_number": "209-558-7248",
            "fax_number": "209-558-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W COOLIDGE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504447",
            "telephone_number": "209-577-5005",
            "fax_number": "209-521-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Woodrow Ave Ste B10",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953501273",
            "country_code": "US",
            "telephone_number": "209-558-5312",
            "fax_number": "209-558-5310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122805",
            "country_code": "US",
            "telephone_number": "520-795-8188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Doctors Dr Ste E1",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011584",
            "country_code": "US",
            "telephone_number": "252-775-5930",
            "fax_number": "252-208-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "LISA",
        "middle_name": "WYNETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "4301056342",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2018-00345",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "50015",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C148024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "160D410050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "160D410050",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4380839",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET FEDERAL SERVIC",
            "identifier": "G93281",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0982797",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE",
            "identifier": "203333",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34649164",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C5869",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "01338",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "160D410050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "203333",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1602503852",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "160D410050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "G93281",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmurphy1544891@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CDA/CCD/TXT",
            "address_1": "701 Doctors Dr Ste E1",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285011584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.