Active NPI
Kelly Murry
- Pediatric Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1487033171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 111839
- Practice address
- 6041 Village Dr
Suite 150
Lincoln, NE 68516-6619 - Phone
- (402) 423-1900
- Fax
- (402) 423-5991
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 111839 | NE | Primary |
Addresses
Primary practice location
6041 Village Dr
Suite 150
Lincoln, NE 68516-6619
Mailing address
6041 Village Dr
Suite 150
Lincoln, NE 68516-6619
Phone (402) 423-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan'S Boys' Home | Pediatrics | Current | Accepting new patients |
| ENT Services PC | Past | Accepting new patients | |
| Doctors of Children, Lincoln PC | Pediatrics | Past | Accepting new patients |
| Doctors of Children, Lincoln PC | Past | Accepting new patients |
Locations
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
Interoperability endpoints
- kferryman@docl.pcc-direct.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
-
- Pediatrics Physician
- Lincoln, NE
- NPI 1780808667
-
- Pediatrics Physician
- Lincoln, NE
- NPI 1861914020
-
- Otolaryngology Physician
- Omaha, NE
- NPI 1194822130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1487033171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6041 VILLAGE DR",
"address_2": "SUITE 150",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166619",
"telephone_number": "402-423-1900",
"fax_number": "402-423-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6041 VILLAGE DR",
"address_2": "SUITE 150",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685166619",
"telephone_number": "402-423-1900",
"fax_number": "402-423-5991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRY",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NE",
"license": "111839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.