Lee Virginia Murrin, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Amboy, IL
NPI 1477063519 · NPPES record last updated Sep 5, 2018
Key facts
- NPI
- 1477063519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.016710 (IL)
- Practice address
- 305 East Joe Drive
Amboy, IL 61310 - Phone
- (815) 857-3044
- NPI assigned
- Oct 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
305 Joe Dr E
Amboy, IL 61310-9492
Phone (815) 857-3044
320 N 1St St
Ashton, IL 61006-9432
Phone (815) 453-1212
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Osf Saint Katharine Medical Center
- Osf Saint Paul Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.78 of 100
- Quality
- 60.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20171108001998 | IL | Practitioner - Nurse Practitioner | 4587920533 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.016710 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
305 Joe Dr E
#231
Amboy, IL 61310
Phone (815) 857-3044
305 Joe Dr E
Amboy, IL 61310
Phone (815) 857-3044
215 E 1st St
Ste 117
Dixon, IL 61021
Phone (815) 285-5900
215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.016710 | IL | Yes |
Addresses
Primary practice location
305 East Joe Drive
Amboy, IL 61310
Mailing address
623 E Chamberlin St
Dixon, IL 61021-2223
Phone (815) 742-5209
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400424155 | Other | IL | MEDICARE PTAN |
Other providers in Amboy, IL
- Valerie Manning
- Maple Crossing at Amboy LLC
- Maple Crossing at Amboy LLC
- Mary Merlak
- Hope Mueller
- Laurine L Pitzer Hanson
- Delaney Rose Powers
- Sauk Valley Breastfeeding
- Simple RX Solutions Inc
- Sinnissippi Centers, Inc.
All providers in Amboy, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2018. 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.