NPIMap

Individual provider Active NPI

Jillianne Marie Murray, DO

  • Family Medicine Physician
  • Carroll, IA
National Provider Identifier
1962993956
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-05884 Issued in IA
Practice address
311 S Clark St
Carroll, IA 51401-3038
Phone
(712) 792-2222
Fax
(712) 792-0704
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-05884 IA Primary

Addresses

Primary practice location

311 S Clark St
Carroll, IA 51401-3038

Mailing address

311 S Clark St
Carroll, IA 51401-3038
Phone (712) 792-2222

Other names 1

  • Dr. Jillianne Gall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909000946 IA Practitioner - Family Practice 8820345887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians
St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians

Practice addresses (Care Compare)

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

405 S Clark St
Suite 100
Carroll, IA 51401-3047
Phone (712) 792-2222

Hospital & facility affiliations

  • St Anthony Regional Hospital and Nursing Home Home health agency, Carroll, IA, CCN 167207
  • Carroll Area Nursing Services Home health agency, Carroll, IA, CCN 167213
  • Angels Care Home Health of Iowa Home health agency, Council Bluffs, IA, CCN 167292
  • St. Anthony Regional Hospital and Nursing Home Hospice, Carroll, IA, CCN 161546
  • Hospice of the Midwest, LLC Hospice, Johnston, IA, CCN 161609
  • Gentiva Hospice, Carroll, IA, CCN 161582
  • St Anthony Regional Hospital & Nursing Home Hospital, Carroll, IA, CCN 161382
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • St Anthony Senior Services Nursing home, Carroll, IA, CCN 165796
  • Regency Park Nursing & Rehab Center of Carroll Nursing home, Carroll, IA, CCN 165231
  • Thomas Rest Haven Nursing home, Coon Rapids, IA, CCN 165358
  • St Anthony Regional Hospital & Nursing Home Nursing home, CCN 16Z382

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
69.74
Promoting interoperability
83
Improvement activities
40
Cost
69.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-05884IAMDFamily Medicine Physician
0439SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthony Regional Hospital and Nursing Home Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
St Anthony Regional Hospital and Nursing Home Past Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

Interoperability endpoints

  • Direct secure messaging: jmmurray@direct.sarh.kobledirect.com
  • Direct secure messaging: jmmurray@cynchealthdsm.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
BCG Data ServicesCarroll, IA, CCN 165796 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2025
Jul 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1962993956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S CLARK ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013038",
            "telephone_number": "712-792-2222",
            "fax_number": "712-792-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S CLARK ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013038",
            "telephone_number": "712-792-2222",
            "fax_number": "712-792-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "JILLIANNE",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-05884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIANNE",
            "last_name": "GALL",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.