Individual provider Active NPI

Amy Lynn Murdock, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • Nederland, TX
National Provider Identifier
1811535149
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144403 Issued in TX
Practice address
2400 Highway 365 Ste 101
Nederland, TX 77627-6268
Phone
(409) 724-2600
Fax
(409) 724-2637
NPI assigned
Dec 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144403 TX Primary
Family Nurse Practitioner 363LF0000X F11190885 TX

Addresses

Primary practice location

2400 Highway 365 Ste 101
Nederland, TX 77627-6268

Mailing address

2400 Highway 365 Ste 101
Nederland, TX 77627-6268
Phone (409) 724-2600

Other practice location 1

3080 College St
Beaumont, TX 77701-4686
Phone (409) 212-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200803000048 TX Practitioner - Nurse Practitioner 5799748430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murdock Family Health and Wellness, PLLCGroup PAC ID 8022401645, 2 clinicians

Practice addresses (Care Compare)

2400 Hwy 365
Suite 101
Nederland, TX 77627-6268
Phone (409) 724-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP144403TXMDFamily Nurse Practitioner
F11190885TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network CurrentSince Jun 15, 2020 Accepting new patients
Murdock Family Health and Wellness PLLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

2400 Highway 365
Ste 101
Nederland, TX 77627
Phone (409) 724-2600

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 2

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": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1811535149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 365 STE 101",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276268",
            "telephone_number": "409-724-2600",
            "fax_number": "409-724-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 365 STE 101",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276268",
            "telephone_number": "409-724-2600",
            "fax_number": "409-724-2637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3080 College St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014686",
            "country_code": "US",
            "telephone_number": "409-212-5000",
            "fax_number": "409-212-5028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "MS, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144403",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F11190885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.