MRS. KALLIE BLYTHE HUMPHREYS PA-C
NPI 1194061143
Physician Assistant in Oklahoma City, OK
About Mrs. Kallie Blythe Humphreys Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KALLIE BLYTHE HUMPHREYS PA-C (NPI 1194061143) is an individual physician assistant in Oklahoma City, Oklahoma, licensed in Oklahoma (2188) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Midwest City.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kallie Blythe Humphreys Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kallie Humphreys's NPI number?
The NPI number for Kallie Humphreys is 1194061143. It was assigned to this individual provider in the NPPES registry on December 19, 2012.
Where is Kallie Humphreys located?
Kallie Humphreys practices at 3300 NW Expressway, Oklahoma City, OK 73112. The listed phone number is (405) 949-3011.
What is Kallie Humphreys's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kallie Humphreys enrolled in Medicare?
Yes. Kallie Humphreys is registered in the Medicare PECOS enrollment system.
What insurance does Kallie Humphreys accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Kallie Humphreys as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kallie Humphreys was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Kallie Blythe Humphreys, PA-C · NPI 1194061143
Physician Assistant physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since December 19, 2012.
## Identity
- **NPI:** 1194061143 (Entity type: Individual)
- **Enumerated:** December 19, 2012
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2188 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 NW EXPRESSWAY, Oklahoma City, OK 73112-4999
- **Phone:** (405) 949-3011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194061143) · Data from the CMS NPPES public registry.