Individual provider Active NPI

Berkely A McMurray, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1710994884
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP4122 Issued in AZ
Practice address
1500 E Cedar Ave Ste 26
Flagstaff, AZ 86004-1642
Phone
(928) 773-1245
Fax
(928) 773-9429
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP000619 SD
Nurse Practitioner 363L00000X AP4122 AZ
Acute Care Nurse Practitioner 363LA2100X AP4122 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP4122 AZ Primary

Addresses

Primary practice location

1500 E Cedar Ave Ste 26
Flagstaff, AZ 86004-1642

Mailing address

1500 E Cedar Ave Ste 26
Flagstaff, AZ 86004-1642
Phone (928) 773-1245

Other identifiers 1

IdentifierTypeStateIssuer
799080MedicaidAZ

Other names 1

  • Berkey A Olvera Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20130725000793 AZ Practitioner - Nurse Practitioner 4385782606 Reassigns benefits to 1 organization
I20151110001259 TX Practitioner - Nurse Practitioner 4385782606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Native Americans for Community Action IncGroup PAC ID 5597740464, 11 clinicians

Practice addresses (Care Compare)

1500 E Cedar Ave
Flagstaff, AZ 86004-1642
Phone (928) 773-1245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4122AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winslow Indian Health Care Center, Inc CurrentSince Feb 2, 2023 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Oct 19, 2015 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Feb 2, 2023 Accepting new patients
Winslow Indian Health Care Center, Inc Current Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Oct 19, 2015 Accepting new patients
Native Americans for Community Action, Inc CurrentSince Oct 29, 2023 Accepting new patients
Dilkon Medical Center Current Accepting new patients

Locations

1500 E Cedar Ave
Ste 56
Flagstaff, AZ 86004
Phone (928) 526-2968

1500 E Cedar Ave
Ste 26
Flagstaff, AZ 86004
Phone (928) 773-1245

500 Indiana Ave
Winslow, AZ 86047

Interoperability endpoints

  • Direct secure messaging: berkely.mcmurray.p1@direct.nacainc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1710994884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E CEDAR AVE STE 26",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041642",
            "telephone_number": "928-773-1245",
            "fax_number": "928-773-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CEDAR AVE STE 26",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041642",
            "telephone_number": "928-773-1245",
            "fax_number": "928-773-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRAY",
        "first_name": "BERKELY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP000619",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP4122",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP4122",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799080",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERKEY",
            "last_name": "OLVERA",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.