Phyllis Gayle Murray, FNP-C
Individual provider Active NPI Nurse Practitioner · Bastian, VA
NPI 1235865015 · NPPES record last updated Sep 15, 2022
Key facts
- NPI
- 1235865015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024185136 (VA)
- Practice address
- 12301 Grapefield Rd
Bastian, VA 24314-4547 - Phone
- (276) 688-4331
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Princeton Community Hospital Assn. Inc.
Practice addresses (Care Compare)
122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936
Hospital & facility affiliations
- Princeton Community Hospital Assn Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220929002207 | VA | Practitioner - Nurse Practitioner | 2567848443 | Reassigns benefits to 1 organization |
| I20230926002350 | WV | Practitioner - Nurse Practitioner | 2567848443 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113798 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Community Hospital Assn., Inc. | Current |
Accepting new patients | |
| Bland County Medical Clinic, Inc. | Current |
Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Current |
Accepting new patients | |
| Princeton Community Hospital Assn Inc. | Current | Accepting new patients | |
| Bland County Medical Clinic, Inc. | Current |
Accepting new patients |
Locations
12301 Grapefield Rd
Bastian, VA 24314
Phone (276) 688-2626
8494 S Scenic Hwy
Bland, VA 24315
Phone (276) 688-0500
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 113798 | WV | |
| Nurse Practitioner | 363L00000X | 0024185136 | VA | Yes |
Addresses
Primary practice location
12301 Grapefield Rd
Bastian, VA 24314-4547
Mailing address
1596 Mount Olive Rd
Rock, WV 24747-9622
Phone (304) 910-2860
Other practice location 1
8494 S Scenic Hwy
Bland, VA 24315-5255
Phone (276) 688-0500
Other providers in Bastian, VA
- Lindsey Heldreth Kennedy
- London King
- Mary A Martin
- Deana Michelle McCarty
- Tonya M. McFadden
- Lynn M. Patton
- Anna Lorie Pettrey
- RBM Opco of Bastian LLC
- Shyann Reynolds
- Samantha Dion Richardson
All providers in Bastian, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.