Individual provider Active NPI

Nikole Murray, NP

  • Adult Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1255925327
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R210013 Issued in MD
Practice address
45 Thomas Johnson Dr Ste 209
Frederick, MD 21702-4490
Phone
(301) 662-6755
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R210013 MD Primary

Addresses

Primary practice location

45 Thomas Johnson Dr Ste 209
Frederick, MD 21702-4490

Mailing address

45 Thomas Johnson Dr Ste 209
Frederick, MD 21702-4490
Phone (301) 662-6755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210422001155 MD Practitioner - Nurse Practitioner 6608284104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frederick Dermatology Associates LLCGroup PAC ID 3678633203, 8 clinicians

Practice addresses (Care Compare)

45 Thomas Johnson Dr
Suite 209
Frederick, MD 21702-4490
Phone (301) 662-6755

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.96 of 100Reported as group
Quality
67.99
Improvement activities
40
Cost
75.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R210013MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Dermatology Associates LLC CurrentSince Jun 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

45 Thomas Johnson Dr
Ste 209
Frederick, MD 21702
Phone (301) 662-6755

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1255925327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 THOMAS JOHNSON DR STE 209",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024490",
            "telephone_number": "301-662-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 THOMAS JOHNSON DR STE 209",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024490",
            "telephone_number": "301-662-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "NIKOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R210013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.