Individual provider Active NPI

Janet S. Murdick, RN BC AP PMH/CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Festus, MO
National Provider Identifier
1265419477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
104279 Issued in MO
Practice address
807 Collins Dr
Festus, MO 63028-2346
Phone
(636) 931-4206
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 104279 MO Primary

Addresses

Primary practice location

807 Collins Dr
Festus, MO 63028-2346

Mailing address

789 Cottage Road
Bonne Terre, MO 63628
Phone (573) 358-0315

Other identifiers 1

IdentifierTypeStateIssuer
425915600MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040626000059 MO Practitioner - Certified Clinical Nurse Specialist (CNS) 1759367139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Services IncGroup PAC ID 8820074297, 8 clinicians

Practice addresses (Care Compare)

807 Collins Dr
Festus, MO 63028-2346
Phone (636) 931-4206

807 Collins Rd
Festus, MO 63028-2346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Services Inc CurrentSince May 1, 2003 Accepting new patients
Mineral Area Osteopathic Hospital Inc Past Accepting new patients
Advanced Psychiatric Services Past Accepting new patients

Locations

807 Collins Dr
Festus, MO 63028
Phone (636) 931-4206

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265419477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 COTTAGE ROAD",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "63628",
            "telephone_number": "573-358-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 COLLINS DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282346",
            "telephone_number": "636-931-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDICK",
        "first_name": "JANET",
        "middle_name": "S.",
        "credential": "RN BC AP PMH/CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MO",
            "license": "104279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425915600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.