Individual provider Active NPI

Shannon Douglas Murphy, AGACNP

  • Acute Care Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1215602628
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0029482 Issued in OH
Practice address
1 Wyoming St Ste Se3100B
Dayton, OH 45409-2722
Phone
(937) 208-8394
NPI assigned
Aug 9, 2021
Last updated
May 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 71017922A IN
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0029482 OH Primary

Addresses

Primary practice location

1 Wyoming St Ste Se3100B
Dayton, OH 45409-2722

Mailing address

2960 Mack Rd Ste 200
Fairfield, OH 45014-5300
Phone (513) 421-3494

Other practice location 1

1 Medical Center Dr
Middletown, OH 45005-2584
Phone (513) 974-2111

Other practice location 2

2960 Mack Rd Ste 200
Fairfield, OH 45014-5300
Phone (513) 421-3494

Other practice location 3

2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394

Other practice location 4

9000 N Main St
Englewood, OH 45415-1180
Phone (937) 208-8394

Other practice location 5

1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 736-3300

Other practice location 6

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2819

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smurphy801363@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220414000741 OH Practitioner - Nurse Practitioner 8325434624 Reassigns benefits to 7 organizations
I20260423000964 IN Practitioner - Nurse Practitioner 8325434624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies HSP Indiana LLCGroup PAC ID 4486189040, 25 clinicians

Practice addresses (Care Compare)

1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 736-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71017922AINMDAcute Care Nurse Practitioner
APRN.CNP.0029482OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe, Inc CurrentSince Sep 14, 2025 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Aug 24, 2024 Accepting new patients
Hospital Care Group, P.C. CurrentSince Apr 1, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 1, 2024 Accepting new patients
Upper Valley Professional Corporation CurrentSince Sep 14, 2025 Accepting new patients
Mvhe Inc CurrentSince Sep 14, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 1, 2024 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Mvhe Inc Current Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Aug 24, 2024 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

1 Wyoming St
Ste SE3100B
Dayton, OH 45409
Phone (937) 208-8394

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

1251 Nilles Rd
Ste 17
Fairfield, OH 45014
Phone (513) 829-7133

2960 Mack Rd
Ste 200
Fairfield, OH 45014
Phone (513) 860-5200

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

Organizations & group practices 12

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 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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1215602628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 MACK RD STE 200",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145300",
            "telephone_number": "513-421-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST STE SE3100B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-8394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450052584",
            "country_code": "US",
            "telephone_number": "513-974-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2960 Mack Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450145300",
            "country_code": "US",
            "telephone_number": "513-421-3494",
            "fax_number": "513-867-3241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Miami Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594774",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151180",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461312140",
            "country_code": "US",
            "telephone_number": "317-736-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2819",
            "fax_number": "513-867-2558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "SHANNON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71017922A",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0029482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smurphy801363@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "630 Eaton Ave",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450132767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.