Individual provider Active NPI

Amanda N Murray, PA-C

  • Surgical Physician Assistant
  • Palos Heights, IL
National Provider Identifier
1205218914
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
4048 Issued in WI
Practice address
12251 S 80TH Ave Ste 1520
Palos Heights, IL 60463-1290
Phone
(708) 923-4200
Fax
(708) 923-4201
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001863A IN
Physician Assistant 363A00000X 085008607 IL
Surgical Physician Assistant 363AS0400X 28204248A IN
Surgical Physician Assistant 363AS0400X 10001863A IN
Surgical Physician Assistant 363AS0400X 4048 WI Primary

Addresses

Primary practice location

12251 S 80TH Ave Ste 1520
Palos Heights, IL 60463-1290

Mailing address

12251 S 80TH Ave Ste 1520
Palos Heights, IL 60463-1290
Phone (708) 923-4200

Other practice location 1

1205 S Main St Ste 101
Crown Point, IN 46307-3677
Phone (219) 662-0077

Other practice location 2

12750 St Francis Dr Ste 320
Crown Point, IN 46307-0264
Phone (219) 662-0077

Other practice location 3

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 334-5081

Other practice location 4

3400 Ministry Pkwy
Weston, WI 54476-5213
Phone (715) 393-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amurray@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WI, KS, NH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150727002040 IN Practitioner - Physician Assistant 0143534768 Reassigns benefits to 2 organizations
I20170803002900 WI Practitioner - Physician Assistant 0143534768 Reassigns benefits to 10 organizations
I20210503000521 KS Practitioner - Physician Assistant 0143534768 Reassigns benefits to 1 organization
I20251110000597 NH Practitioner - Physician Assistant 0143534768

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4048WIMDGeneral Practice Dentistry
3036NHMDPharmacist
085008607ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Topeka Physician Group, LLC CurrentSince Mar 1, 2021 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Physician Assistant CurrentSince Oct 21, 2024 Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 14, 2023 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Oct 21, 2024 Accepting new patients
Agnesian Healthcare Inc CurrentSince Mar 14, 2023 Accepting new patients
Franciscan Physician Network CurrentSince Oct 1, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 12, 2020 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Mar 28, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 23, 2023 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Jul 11, 2017 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 23, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 23, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 23, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Nov 12, 2020 Accepting new patients
MCHS Hospitals, Inc. CurrentSince Nov 12, 2020 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jul 11, 2017 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jul 11, 2017 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 23, 2023 Accepting new patients
Franciscan Physician Network CurrentSince Oct 1, 2022 Accepting new patients
Green Bay Cardiothoracic & Vascular LLC Past Accepting new patients
Bellin Memorial Hospital Inc Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients

Locations

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1205 S Main St
Ste 101
Crown Point, IN 46307
Phone (219) 662-0077

12750 Saint Francis Dr
Ste 320
Crown Point, IN 46307
Phone (219) 662-0077

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

3900 St Francis Way
Ste 201
Lafayette, IN 47905
Phone (765) 400-0204

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • Direct secure messaging: amanda.murray@hca6.eclinicaldirectplus.com
  • Direct secure messaging: amurray@direct.iuhealth.org
  • Direct secure messaging: amanda.murray@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: amurray332031@ahs.direct-ci.com

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 2

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1205218914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE STE 1520",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631290",
            "telephone_number": "708-923-4200",
            "fax_number": "708-923-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE STE 1520",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631290",
            "telephone_number": "708-923-4200",
            "fax_number": "708-923-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 S Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463073677",
            "country_code": "US",
            "telephone_number": "219-662-0077",
            "fax_number": "219-681-6701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12750 St Francis Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463070264",
            "country_code": "US",
            "telephone_number": "219-662-0077",
            "fax_number": "219-662-9496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2651 E Discovery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474089059",
            "country_code": "US",
            "telephone_number": "812-334-5081",
            "fax_number": "812-334-5091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Ministry Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "544765213",
            "country_code": "US",
            "telephone_number": "715-393-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "AMANDA",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001863A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008607",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "28204248A",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10001863A",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "4048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amurray@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2651 E Discovery Pkwy",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.