Active NPI
Jennifer Lynn Murray, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Pleasant Prairie, WI
National Provider Identifier
1245871425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 969033
- Practice address
- 10256 Old Green Bay Rd
Pleasant Prairie, WI 53158-2814 - Phone
- (262) 551-4200
- Fax
- (262) 551-4947
- NPI assigned
- Sep 30, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041413649 | IL | |
| Registered Nurse | 163W00000X | 24062930 | WI | |
| Family Nurse Practitioner | 363LF0000X | 209020321 | IL | |
| Family Nurse Practitioner | 363LF0000X | 969033 | WI | Primary |
Addresses
Primary practice location
10256 Old Green Bay Rd
Pleasant Prairie, WI 53158-2814
Mailing address
10256 Old Green Bay Rd
Pleasant Prairie, WI 53158-2814
Phone (262) 551-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245871425 | Medicaid | WI | |
| 9690-33 | Other | WI | WI APNP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041413649 | IL | MD | Registered Nurse |
| 24062930 | WI | MD | Registered Nurse |
| 209020321 | IL | MD | Family Nurse Practitioner |
| 969033 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1245871425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10256 OLD GREEN BAY RD",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531582814",
"telephone_number": "262-551-4200",
"fax_number": "262-551-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10256 OLD GREEN BAY RD",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531582814",
"telephone_number": "262-551-4200",
"fax_number": "262-551-4947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041413649",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "24062930",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209020321",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "969033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245871425",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI APNP LICENSE",
"identifier": "9690-33",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.