Mary K Murphy, APNP
Individual provider Active NPI Nurse Practitioner · Fox Point, WI
NPI 1346357761 · NPPES record last updated Nov 24, 2021
Key facts
- NPI
- 1346357761
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 84816-030 (WI)
- Practice address
- 8675 N Port Washington Rd
Fox Point, WI 53217-2209 - Phone
- (414) 352-2011
- Fax
- (414) 351-7324
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lakeshore Medical Clinic LLC
Practice addresses (Care Compare)
163 N Milwaukee St
Milwaukee, WI 53202-6012
Phone (414) 227-1127
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20101202001290 | WI | Practitioner - Nurse Practitioner | 3870780893 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305-033 | WI | MD | Nurse Practitioner |
| 84816-030 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Health Care Metro, Inc. | Current |
Accepting new patients | |
| Aurora Health Care Metro, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients |
Locations
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
163 N Milwaukee St
Milwaukee, WI 53202
Phone (414) 227-1127
945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800
8675 N Port Washington Rd
Milwaukee, WI 53217
Phone (414) 352-2011
1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone (414) 283-8444
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
Interoperability endpoints
- mmurphy7133@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 305-033 | WI | |
| Nurse Practitioner | 363L00000X | 84816-030 | WI | Yes |
Addresses
Primary practice location
8675 N Port Washington Rd
Fox Point, WI 53217-2209
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 647-6326
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mmurphy7133@direct.myadvocateaurora.org | Direct |
Other providers in Fox Point, WI
- Juliette Martin Thomas
- David E Melbye
- Emily Ann Miller
- Moore Blessings
- Kelly Morello
- Myeyedr Optometry of Wisconsin, LLC
- Matthew Nersesian
- Rebekah Noble
- Nina Olson
- Deborah Orman
All providers in Fox Point, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2021. 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.