Individual provider Active NPI

Susan Murphy, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1205239324
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7984 Issued in AZ
Practice address
2030 W Baseline Rd Ste 182-549
Phoenix, AZ 85041-6574
Phone
(928) 683-1170
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 AP7984 AZ Primary

Addresses

Primary practice location

2030 W Baseline Rd Ste 182-549
Phoenix, AZ 85041-6574

Mailing address

2030 W Baseline Rd Ste 182-549
Phoenix, AZ 85041-6574
Phone (928) 683-1170

Other identifiers 1

IdentifierTypeStateIssuer
106809MedicaidAZ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address brdshwmtfmed@protonmail.com Health Information Exchange (HIE)
Direct Messaging Address myiridescence@protonmail.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160215002654 AZ Practitioner - Nurse Practitioner 3678877875 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP7984AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Virtual Care LLC CurrentSince Oct 7, 2022 Accepting new patients
Community Medical Services Arizona-Private, LLC CurrentSince Sep 29, 2025 Accepting new patients
Lifewell Behavioral Wellness CurrentSince Sep 11, 2023 Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients

Locations

5002 W Glendale Ave
Ste 101102
Glendale, AZ 85301

5002 W Glendale Ave
Ste 1
Glendale, AZ 85301

6915 E Main St
Ste 200
Mesa, AZ 85207

262 E University Dr
Mesa, AZ 85201
Phone 60280828005539

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

40 E Mitchell Dr
Ste 100
Phoenix, AZ 85012
Phone (602) 995-7474

10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340

4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220

10830 N 71st Pl
Ste 105
Scottsdale, AZ 85254
Phone (480) 206-5619

Interoperability endpoints

  • Direct secure messaging: susan.murphy.p1@direct.lifewell.nextgenshare.com
  • Direct secure messaging: susan.murphy@57560418353156.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1205239324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 W BASELINE RD STE 182-549",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416574",
            "telephone_number": "928-683-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 W BASELINE RD STE 182-549",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416574",
            "telephone_number": "928-683-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "SUSAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106809",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brdshwmtfmed@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1163 Old Chisholm Trail",
            "address_2": "Suite C",
            "city": "Dewey",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863272314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myiridescence@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "business email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "2030 W Baseline Rd Ste 182-549",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850416574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.