Individual provider Active NPI

Mary Lou Murphy, PA

  • Physician Assistant
  • Yakima, WA
National Provider Identifier
1770514242
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10004355 Issued in WA
Practice address
1211 N 16TH Ave
Yakima, WA 98902-1347
Phone
(509) 454-8888
Fax
(509) 453-0061
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 PA10004355 WA Primary

Addresses

Primary practice location

1211 N 16TH Ave
Yakima, WA 98902-1347

Mailing address

1211 N 16TH Ave
Yakima, WA 98902-1347
Phone (509) 454-8888

Other identifiers 2

IdentifierTypeStateIssuer
PA10004355OtherWASTATE LICENSE
8453052MedicaidWA

Other names 1

  • Mary Lou Hensler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20060814000224 WA Practitioner - Physician Assistant 9234132283 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Memorial Physicians CurrentSince Nov 1, 2007 Accepting new patients
Washington Neurology, Inc Past Accepting new patients

Locations

111 S 11th Ave
Ste 320
Yakima, WA 98902
Phone (509) 248-7184

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

1470 N 16th Ave
Yakima, WA 98902
Phone (509) 574-3300

Interoperability endpoints

  • Direct secure messaging: washingtonneurology.maryloumurphy@130463.advancedmd-direct.com

Organizations & group practices 3

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1770514242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021347",
            "telephone_number": "509-454-8888",
            "fax_number": "509-453-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021347",
            "telephone_number": "509-454-8888",
            "fax_number": "509-453-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MARY",
        "middle_name": "LOU",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA10004355",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8453052",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HENSLER",
            "middle_name": "LOU",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.