Active NPI 1639403421 Individual Practitioner Female Practitioner

Crystal Dawn Murphy , C-PNP

Nurse Practitioner - Pediatrics • Supply, NC

Professional Overview & Biography Verified Profile Summary

Crystal Murphy, C-PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Supply, NC. Practice services are available at 14 DOCTORS CIR STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14 Doctors Cir Ste 3

Supply, NC 284624088

Telephone 9107547075

Associated Practice Facility / Clinic

🏢 Shore Fun Pediatrics Facility NPI 1750420428

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Supply, NC

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 11.4 Yrs

Regional Practice Density

3 Specialists

Practicing in Supply, NC (663 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-13

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License NC 5004507

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1750420428 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Alicia Tyndall , FNP-BC

Nurse Practitioner - Family

NPI 1134131584

Family Nurse Practitioner (Board Certified)

Mary Beth Barna , PNP-BC

Nurse Practitioner - Pediatrics

NPI 1255765095

Pediatric Nurse Practitioner (Board Certified)

Dr. Joanne Peck , MD

Pediatrics

NPI 1790797108

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2023

Nurse Practitioner (License #5004507 in NC)

📍

Updated Practice Location July 01, 2021

Registered at 14 DOCTORS CIR STE 3, SUPPLY, NC 284624088 (Tel: 9107547075)

📍

Updated Business Mailing Address July 01, 2021

Registered at 14 DOCTORS CIR STE 3, SUPPLY, NC 284624088 (Tel: 9107547075)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2021

Nurse Practitioner (License #5004507 in NC)

📍

Updated Practice Location June 12, 2019

Registered at 3650 EXPRESS DR, SHALLOTTE, NC 284706501 (Tel: 8437921414)

📍

Updated Business Mailing Address June 12, 2019

Registered at PO BOX 669, LORIS, SC 295690669 (Tel: 8437162229)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2019

Nurse Practitioner (License #5004507 in NC)

✅

NPI Profile Active June 25, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 25, 2013

Registered at 171 ASHLEY AVE, CHARLESTON, SC 294258908 (Tel: 8437921414)

📍

Updated Business Mailing Address June 25, 2013

Registered at PO BOX 751461, CHARLOTTE, NC 282751461 (Tel: 8437926200)

👤

Provider Name / Credentials Updated June 25, 2013

Recorded as CRYSTAL MURPHY, C-PNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2013

Nurse Practitioner (License #18304 in SC)

🟢

Initial NPI Registration & Enumeration September 25, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1639403421

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 25, 2009

Last Update: December 13, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

14 Doctors Cir Ste 3

Supply, NC 284624088

Phone: 9107547075

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.