Individual provider Active NPI

Jody Murphy, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Rapids, MN
National Provider Identifier
1407009384
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1991 Issued in MN
Practice address
516 S Pokegama Ave
Grand Rapids, MN 55744-3820
Phone
(218) 327-2001
Fax
(218) 327-0456
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R-182865-0 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1991 MN Primary

Addresses

Primary practice location

516 S Pokegama Ave
Grand Rapids, MN 55744-3820

Mailing address

516 S Pokegama Ave
Grand Rapids, MN 55744-3820
Phone (218) 327-2001

Other practice location 1

201 N Broad St Ste 200
Mankato, MN 56001-3569
Phone (507) 225-1500

Other practice location 2

20 NW 3rd St
Grand Rapids, MN 55744
Phone (183) 283-2312

Other practice location 3

201 N Broad St Ste 200
Mankato, MN 56001-3569
Phone (507) 225-1500

Other names 1

  • Jody Lindsay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20131126001145 MN Practitioner - Nurse Practitioner 5597991331 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeview Behavioral Health IncGroup PAC ID 9537432307, 24 clinicians

Practice addresses (Care Compare)

516 S Pokegama Ave
Grand Rapids, MN 55744-3800
Phone (218) 327-2001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-182865-0MNMDRegistered Nurse
1991MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Behavioral Health & Wellness Center, PLLC CurrentSince Jun 15, 2015 Accepting new patients
Family Support Services Inc. CurrentSince Apr 29, 2025 Accepting new patients
Open Door Health Center CurrentSince Dec 16, 2020 Accepting new patients
Nystrom & Associates, LTD CurrentSince Dec 1, 2013 Accepting new patients
Lakeview Behavioral Health Inc. CurrentSince Aug 28, 2022 Accepting new patients
Open Door Health Center CurrentSince Dec 16, 2020 Accepting new patients

Locations

13021 Evergreen Dr
Baxter, MN 56425
Phone (218) 368-8313

13045 Falcon Dr
#100
Brainerd, MN 56425
Phone (218) 203-6282

20 NW 3rd St
Grand Rapids, MN 55744
Phone (218) 302-4468

516 S Pokegama Ave
Grand Rapids, MN 55744
Phone (218) 327-2001

309 Holly Ln
Mankato, MN 56001
Phone (507) 388-2120

201 N Broad St
Ste 200
Mankato, MN 56001
Phone (507) 200-2624

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704

8640 Eagle Creek Cir
Savage, MN 55378
Phone (952) 746-7664

Organizations & group practices 6

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1407009384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S POKEGAMA AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443820",
            "telephone_number": "218-327-2001",
            "fax_number": "218-327-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S POKEGAMA AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443820",
            "telephone_number": "218-327-2001",
            "fax_number": "218-327-0456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Broad St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560013569",
            "country_code": "US",
            "telephone_number": "507-225-1500",
            "fax_number": "507-225-1501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 NW 3rd St",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "55744",
            "country_code": "US",
            "telephone_number": "183-283-2312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Broad St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560013569",
            "country_code": "US",
            "telephone_number": "507-225-1500",
            "fax_number": "507-225-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "JODY",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R-182865-0",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "1991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "LINDSAY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MN

Sources for this page

Verify at the official NPI Registry.