DR. SHEA ANN HUMPHREY DO
NPI 1174543565
Family Medicine in Groveland, FL

Q: What is Shea Humphrey's NPI number?

The NPI number for Shea Humphrey is 1174543565. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Shea Humphrey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shea Humphrey was last updated on December 16, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment

1296 W BROAD ST, GROVELAND, FL 34736(352) 429-4104(352) 429-4138 Get Directions Write a Review

NPPES record last updated: December 16, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Shea Ann Humphrey Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHEA ANN HUMPHREY DO (NPI 1174543565) is an individual family medicine provider in Groveland, Florida, licensed in Florida (OS9643) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of West Virginia School Of Osteopathic Medicine (2002).

NPPES Registry Identity

NPI1174543565

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHEA ANN HUMPHREYCredential: DO

Location Address1296 W BROAD STGroveland, FL 34736-2012

Mailing Address110 S Woodland StWinter Garden, FL 34787-3546 · (407) 905-8827 · Fax (407) 905-8980

Phone(352) 429-4104

Fax(352) 429-4138

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2002

Enumeration DateJuly 20, 2006

Last NPPES UpdateDecember 16, 2009

✔ NPI 1174543565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS9643

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1296 W BROAD ST, Groveland, FL 34736

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Other Identifiers 2

Medicaid279521300FL

Medicare PIN30882YFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shea Ann Humphrey Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143242537

PECOS Enrollment IDI20051229000149

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34736 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANICE DARDEN KRIVAN ARNP

Nurse Practitioner (Pediatrics)