Individual provider Active NPI

Brenda Jo Murray, MSN, CFNP, CPNP

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1992747018
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
178933 Issued in CO
Practice address
2259 Calle Cacique
Santa Fe, NM 87505-4909
Phone
(505) 984-8904
Fax
(505) 984-9969
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 178933 CO Primary

Addresses

Primary practice location

2259 Calle Cacique
Santa Fe, NM 87505-4909

Mailing address

2259 Calle Cacique
Santa Fe, NM 87505-4909
Phone (505) 984-8904

Other identifiers 4

IdentifierTypeStateIssuer
68392517MedicaidNM
000K3526MedicaidNM
8HH579OtherNMPROVIDER MEDICARE #
HSZ196OtherNMMEDICARE PART B

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
I20080505000525 TX Practitioner - Nurse Practitioner 1951480714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kewa Pueblo Health CorporationGroup PAC ID 7618137779, 29 clinicians

Practice addresses (Care Compare)

85 W Hwy 22
Santo Domingo Pueblo, NM 87052-1283
Phone (505) 465-3060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178933COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jicarilla IHS Pharmacy PastSince Mar 5, 2023 Accepting new patients
Kewa Pueblo Health Corporation Past Accepting new patients
Santa Clara Health Center PastSince Jan 19, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brenda.murray.p1@direct.kp-hc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1992747018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 CALLE CACIQUE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054909",
            "telephone_number": "505-984-8904",
            "fax_number": "505-984-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 CALLE CACIQUE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054909",
            "telephone_number": "505-984-8904",
            "fax_number": "505-984-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "BRENDA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MSN, CFNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "178933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68392517",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000K3526",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER MEDICARE #",
            "identifier": "8HH579",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "HSZ196",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.