Active NPI
Kelli Murray
- Clinical Social Worker
- Oscoda, MI
National Provider Identifier
1487107397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5671 N Skeel Ave
Oscoda, MI 48750-1535 - Phone
- (989) 739-2550
- NPI assigned
- Jul 27, 2016
- Last updated
- Sep 13, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5671 N Skeel Ave
Oscoda, MI 48750-1535
Mailing address
5671 N Skeel Ave
Oscoda, MI 48750-1535
Phone (989) 739-2550
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcerecords.essmichigan@direct.mihin.net | Easterseals MORC Health Care, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Michigan State University College of Human Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5331 Plymouth Rd
Ann Arbor, MI 48105-9520
Phone (734) 412-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RMJ1 | Social Worker | Current | Accepting new patients |
Locations
5331 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 412-7300
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Social Worker
- Ann Arbor, MI
- NPI 1841853850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1487107397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5671 N SKEEL AVE",
"city": "OSCODA",
"state": "MI",
"postal_code": "487501535",
"telephone_number": "989-739-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 N SKEEL AVE",
"city": "OSCODA",
"state": "MI",
"postal_code": "487501535",
"telephone_number": "989-739-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcerecords.essmichigan@direct.mihin.net",
"affiliation": "Y",
"affiliationName": "Easterseals MORC Health Care, Inc.",
"address_1": "2399 E Walton Blvd",
"city": "Auburn Hills",
"state": "MI",
"country_code": "US",
"postal_code": "483261955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oscoda, MI
- Jacob Douglas McDonald
- Abigail Melendez
- Megan Rose Miller
- Monarch Behavioral Services, LLC
- Jaxxon Scott Morgan
- Mymichigan Medical Center Alpena
- Mymichigan Medical Center Alpena (Alpena Oxygen & Equipment Co)
- Mymichigan Medical Center Alpena
- Mymichigan Medical Center Tawas (Ascension St Joseph Hospital Oscoda Health Park)
- Kristen Nance, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.