Individual provider Active NPI

Cody Murray, PA-C

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1508519653
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2581 Issued in NV
Practice address
1348 Paseo Verde Pkwy Ste 100
Henderson, NV 89012-5723
Phone
(702) 847-6252
Fax
(702) 847-6254
NPI assigned
Jan 29, 2022
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2581 NV Primary

Addresses

Primary practice location

1348 Paseo Verde Pkwy Ste 100
Henderson, NV 89012-5723

Mailing address

1348 Paseo Verde Pkwy Ste 100
Henderson, NV 89012-5723
Phone (702) 847-6252

Other identifiers 1

IdentifierTypeStateIssuer
250017486MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL eClinicalWorks Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20220317002150 NV Practitioner - Physician Assistant 7719372325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Health Tanita PLLCGroup PAC ID 0446673016, 6 clinicians

Practice addresses (Care Compare)

1348 Paseo Verde Pkwy
Suite 100
Henderson, NV 89012-5723
Phone (702) 847-6252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1508519653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 PASEO VERDE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125723",
            "telephone_number": "702-847-6252",
            "fax_number": "702-847-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 PASEO VERDE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125723",
            "telephone_number": "702-847-6252",
            "fax_number": "702-847-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "CODY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250017486",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eClinicalWorks",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1348 Paseo Verde Pkwy Ste 100",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890125723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.