Derek McMurry, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.14169-NP Issued in OH

Practice address

235 Bridle Creek Dr
Suite 220
Monroe, OH 45050-1487

Phone

(513) 659-1673

Fax

(864) 546-4504

NPI assigned

Sep 22, 2006

Last updated

Mar 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, SC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain Evaluation and Management Center of Ohio IncGroup PAC ID 2365475480, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Pain Evaluation & Management Center of Ohio, Inc.

  • Pain Medicine Physician
  • Centerville, OH
  • NPI 1811940182

  Family

  Medicare reassignment Care Compare group NPD
• Toledo Pain Services, PLL

  dba Comprehensive Centers for Pain Management

  • Interventional Pain Medicine Physician
  • Toledo, OH
  • NPI 1356339857
  Medicare reassignment NPD
• Toledo Pain Services, PLL

  • Certified Registered Nurse Anesthetist
  • Oregon, OH
  • NPI 1427703024
  NPD
• East Kemper Chiropractic Inc

  • Chiropractor
  • Cincinnati, OH
  • NPI 1063626372
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Premier Anesthesia Consultants, LLC

  • Anesthesiology Physician
  • Franklin, OH
  • NPI 1811167877
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dayton Osteopathic Hospital

  dba Kettering Health Dayton

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1649379744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BRIDLE CREEK DR",
            "address_2": "SUITE 220",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501487",
            "telephone_number": "513-659-1673",
            "fax_number": "864-546-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BRIDLE CREEK DR",
            "address_2": "SUITE 220",
            "city": "MONROE",
            "state": "OH",
            "postal_code": "450501487",
            "telephone_number": "513-659-1673",
            "fax_number": "864-546-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRY",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14169-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID ID#",
            "identifier": "NP3213",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Renea Lynn, PT
• Jarrod Mann, ATC
• Anthony J. Maritato, PT
• Kelli Marie McIntosh
• Grace Madeline McKee, MS-SLP
• Aarrica Miller
• Mitef Enterprise Inc
• Brandon Lee Mondfrans, PA-C
• Monroe Chiropractic Center, Inc.
• Monroe Family Medicine

• Family Nurse Practitioner in Monroe, OH
• Providers in Monroe, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.

Verify at the official NPI Registry.