Active NPI
Kelly J Murray, MSNP
- Nurse Practitioner
- West Lafayette, IN
National Provider Identifier
1790772358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71000181
- Practice address
- 601 Stadium Mall Dr
West Lafayette, IN 47907-2052 - Phone
- (765) 494-1700
- Fax
- (765) 496-1227
- NPI assigned
- Sep 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28105262 | IN | |
| Nurse Practitioner | 363L00000X | 71000181 | IN | Primary |
Addresses
Primary practice location
601 Stadium Mall Dr
West Lafayette, IN 47907-2052
Mailing address
601 Stadium Mall Dr
West Lafayette, IN 47907-2052
Phone (765) 494-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000278666 | Other | ANTHEM BLUE CROSS BLUE SH | |
| 92629 | Other | GEISINGER HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28105262 | IN | MD | Registered Nurse |
| 71000181 | IN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790772358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 STADIUM MALL DR",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479072052",
"telephone_number": "765-494-1700",
"fax_number": "765-496-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 STADIUM MALL DR",
"city": "WEST LAFAYETTE",
"state": "IN",
"postal_code": "479072052",
"telephone_number": "765-494-1700",
"fax_number": "765-496-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "KELLY",
"middle_name": "J",
"credential": "MSNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28105262",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71000181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "000000278666",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "92629",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in West Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.