Individual provider Active NPI

Teri K Murphy, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Russells Point, OH
National Provider Identifier
1962914804
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.021970 Issued in OH
Practice address
8200 State Route 366 Ste 8
Russells Point, OH 43348-9670
Phone
(937) 292-5063
Fax
(937) 292-5073
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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 APRN.CNP.021970 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.021970 OH Primary

Addresses

Primary practice location

8200 State Route 366 Ste 8
Russells Point, OH 43348-9670

Mailing address

1134 N Main St Ste 1100
Bellefontaine, OH 43311-2379
Phone (937) 651-6820

Other practice location 1

1134 N Main St Ste 1100
Bellefontaine, OH 43311
Phone (937) 651-6820

Other identifiers 1

IdentifierTypeStateIssuer
0255181MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20171228000692 OH Practitioner - Nurse Practitioner 4688932478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

120 W Main St
Russells Point, OH 43348-7500
Phone (937) 292-5063

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

2231 Timber TRL
Bellefontaine, OH 43311-9036
Phone (937) 599-3115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021970OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince Feb 1, 2018 Accepting new patients
Mary Rutan Hospital CurrentSince Feb 1, 2018 Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations

1134 N Main St
Ste 1100
Bellefontaine, OH 43311
Phone (937) 651-6820

2231 Timber Trl
Bellefontaine, OH 43311
Phone (937) 599-3115

1134 N Main St
Ste 1300
Bellefontaine, OH 43311
Phone (937) 592-5015

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

118 Dowell Ave
Bellefontaine, OH 43311
Phone (937) 593-5437

13900 State Route 287
East Liberty, OH 43319
Phone (937) 651-6951

120 W Main St
Russells Point, OH 43348
Phone (937) 843-2048

8200 State Route 366
Ste 8
Russells Pt, OH 43348
Phone (937) 292-5063

Organizations & group practices 5

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": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1962914804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 N MAIN ST STE 1100",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112379",
            "telephone_number": "937-651-6820",
            "fax_number": "937-651-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 STATE ROUTE 366 STE 8",
            "city": "RUSSELLS POINT",
            "state": "OH",
            "postal_code": "433489670",
            "telephone_number": "937-292-5063",
            "fax_number": "937-292-5073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1134 N Main St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Bellefontaine",
            "state": "OH",
            "postal_code": "43311",
            "country_code": "US",
            "telephone_number": "937-651-6820",
            "fax_number": "937-651-6822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "TERI",
        "middle_name": "K",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021970",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.021970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russells Point, OH

Sources for this page

Verify at the official NPI Registry.