Kelly Murray, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C000532 Issued in MD

Practice address

915 Toll House Ave Ste 103
Frederick, MD 21701-5911

Phone

(301) 624-5390

NPI assigned

Dec 8, 2015

Last updated

Dec 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Outreach Recovery II, LLCGroup PAC ID 5294166302, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Outreach Recovery II, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Laurel, MD
  • NPI 1427541838
  Medicare reassignment Care Compare group NPD
• Outreach Recovery II, LLC

  dba Outreach Dimensions

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Frederick, MD
  • NPI 1265077309
  NPD
• Outreach Recovery II, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Hagerstown, MD
  • NPI 1760090294
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1861867459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 TOLL HOUSE AVE STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 TOLL HOUSE AVE STE 103",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015911",
            "telephone_number": "301-624-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KELLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C000532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C000532",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Kathleen Murphy
• Kourtney Alexis Murphy, M.S. CCC-SLP
• Maria Murphy, LCPC
• Meghan S. Murphy, LCSW-C
• Heidi Murray, LMSW
• Lisney Mitchela Murray
• Megan Elizabeth Murray, M.S., CCC-SLP
• Nikole Murray, NP
• Brian Frank Musekiwa Sr.
• Melissa Renee Musser, CRNP

• Medical Physician Assistant in Frederick, MD
• Providers in Frederick, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.