Individual provider Active NPI

Michael Murray, PA-C

  • Physician Assistant
  • Mount Vernon, IL
National Provider Identifier
1679979157
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005226 Issued in IL
Practice address
4117 S Water Tower PL Ste D
Mount Vernon, IL 62864-6567
Phone
(618) 242-4848
Fax
(618) 724-4628
NPI assigned
Nov 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085005226 IL Primary
Medical Physician Assistant 363AM0700X 085005226 IL

Addresses

Primary practice location

4117 S Water Tower PL Ste D
Mount Vernon, IL 62864-6567

Mailing address

PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401

Other practice location 1

2920 Veterans Memorial Dr
Mount Vernon, IL 62864-5924
Phone (618) 244-6544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230830003662 IL Practitioner - Physician Assistant 9133015787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4117 S Water Tower PL
Mount Vernon, IL 62864-6567
Phone (618) 242-4848

4241 State Hwy 14
Christopher, IL 62822-1037
Phone (618) 724-2401

Hospital & facility affiliations

  • SSM Health at Home Health-Illinois Home health agency, Mount Vernon, IL, CCN 147088
  • Deaconess Illinois Crossroads Hospital, Mount Vernon, IL, CCN 140294
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Greater Area Rural Health Planning Corporation Current Accepting new patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Oct 1, 2025 Accepting new patients

Locations

4241 State Highway 14
Christopher, IL 62822
Phone (618) 724-2136

4241 Highway 14 W
Christopher, IL 62822
Phone (618) 724-1684

2920 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 244-6544

4117 S Water Tower Pl
Ste D
Mount Vernon, IL 62864
Phone (618) 242-4848

Interoperability endpoints

  • Direct secure messaging: michael.murray.1@1421.direct.athenahealth.com
  • Direct secure messaging: mmurray498686@direct-ehr-ssmhc.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1679979157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 S WATER TOWER PL STE D",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646567",
            "telephone_number": "618-242-4848",
            "fax_number": "618-724-4628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Veterans Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628645924",
            "country_code": "US",
            "telephone_number": "618-244-6544",
            "fax_number": "618-244-6577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-12",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005226",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085005226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.