MRS. KELLY ANN MURPHY (DNP, FNP-C) – Family Nurse Practitioner, NPI 1013642180

MRS. KELLY ANN MURPHY (DNP, FNP-C) is a healthcare provider. based in Allendale, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-C. They hold a License No. 4704341367 (MI). The NPI Number for MRS. KELLY ANN MURPHY (DNP, FNP-C) is 1013642180

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY ANN MURPHY (DNP, FNP-C)
NPI
1013642180
Phone
(616) 252-3900
Address
4830 Becker Dr
Enumeration Date
21 July 2022
Last Update Date
19 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163260114
Graduation Year
2022 (4 years ago)
PAC ID
4082083068
Group Practice PAC ID
5092044487
Professional Enrollment ID
I20221214000772
Address ID
MI493167478CA1661XSEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MRS. KELLY ANN MURPHY (DNP, FNP-C)

  • 4830 Becker Dr

    Allendale, MI 494018616

    Phone: (616) 252-3900

    Type: Location

  • 7011 KELLY LEE DRIVE SW

    BYRON CENTER, MI 49315

    Phone: (269) 207-7617

    Type: Mailing

  • 5900 BYRON CENTER AVE SW

    WYOMING, MI 495199606

    Phone: (616) 252-3900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221214000772INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092044487View full group profile
NameSpecialtyState
Nurse PractitionerOH
Dermatology, PathologyMI
D E R M A T O L O G YTX
D E R M A T O L O G YMI
Dermatology, Micrographic Dermatologic Surgery (Mds)OH
Physician AssistantMI

Reviews

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Frequently asked questions

What NPI should I save for MRS. KELLY ANN MURPHY (DNP, FNP-C)?
Save NPI 1013642180 if you need a stable reference for MRS. KELLY ANN MURPHY (DNP, FNP-C).
Is MRS. KELLY ANN MURPHY (DNP, FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. KELLY ANN MURPHY (DNP, FNP-C) work in?
You can think of MRS. KELLY ANN MURPHY (DNP, FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. KELLY ANN MURPHY (DNP, FNP-C)'s primary listing?
We display Allendale, Michigan because that is what the record indicates for MRS. KELLY ANN MURPHY (DNP, FNP-C).
How can I contact MRS. KELLY ANN MURPHY (DNP, FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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