Active NPI
Mary K Murphy, MSN APRN BC-FNP
- Nurse Practitioner
- Elkins, WV
National Provider Identifier
1245205426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 35192
- Practice address
- 909 Gorman Ave
Elkins, WV 26241-4109 - Phone
- (304) 636-9242
- Fax
- (304) 636-8152
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 35192 | WV | Primary |
Addresses
Primary practice location
909 Gorman Ave
Elkins, WV 26241-4109
Mailing address
PO Box 390
Elkins, WV 26241-0390
Phone (304) 636-9242
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02639382 | Other | WV | ANCC |
| 001710221 | Other | WV | MTN STATE BC/BS PAY TO 1 |
| 35192 | Other | WV | WV APRN, BC LICENSE |
| RXA1276 | Other | WV | WV PRESCRIPTIVE PRIVILEGE |
| 001768018 | Other | WV | MTN STATE BC/BS SERVICE |
| 00349930 | Other | WV | ANA WV NURSES ASSOC |
| 734583 | Other | WV | NCPPO |
| 500014647 | Other | WV | RAILROAD MEDICARE |
| FQ35192 | Other | WV | HEALTH PLAN PROVIDER |
| 001967354 | Other | WV | MTN STATE BC/BS PAY TO 2 |
| 3810005339 | Medicaid | WV | |
| 1047478 | Other | WV | BRICKSTREET WORKERS COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35192 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Care Inc. | Past | Accepting new patients | |
| Valley Health Care, Inc | Past | Accepting new patients | |
| Carl Stephen High MD | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Elkins, WV
- NPI 1700808177
-
- Family Medicine Physician
- Elkins, WV
- NPI 1114107133
-
- Federally Qualified Health Center (FQHC)
- Beverly, WV
- NPI 1073244810
-
- Federally Qualified Health Center (FQHC)
- Elkins, WV
- NPI 1710270954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1245205426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 390",
"city": "ELKINS",
"state": "WV",
"postal_code": "262410390",
"telephone_number": "304-636-9242",
"fax_number": "304-636-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 GORMAN AVE",
"city": "ELKINS",
"state": "WV",
"postal_code": "262414109",
"telephone_number": "304-636-9242",
"fax_number": "304-636-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "MARY",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "MSN APRN BC-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "35192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC",
"identifier": "02639382",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MTN STATE BC/BS PAY TO 1",
"identifier": "001710221",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV APRN, BC LICENSE",
"identifier": "35192",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV PRESCRIPTIVE PRIVILEGE",
"identifier": "RXA1276",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MTN STATE BC/BS SERVICE",
"identifier": "001768018",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANA WV NURSES ASSOC",
"identifier": "00349930",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "734583",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500014647",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN PROVIDER",
"identifier": "FQ35192",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MTN STATE BC/BS PAY TO 2",
"identifier": "001967354",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810005339",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET WORKERS COMP",
"identifier": "1047478",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.