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STACEY HUMPHREYS MSN, RN, CPNP
NPI 1588749956
Nurse Practitioner - Pediatrics in Salisbury, MD

Active since October 26, 2006PECOS Enrolled
106 MILFORD ST STE 201, SALISBURY, MD 21804(410) 543-1616(410) 543-8497 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2026, Jan 9, 2023, Apr 19, 2017 and 1 more (4 updates tracked since 2016).

About Stacey Humphreys Msn, Rn, Cpnp NPPES

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

STACEY HUMPHREYS MSN, RN, CPNP (NPI 1588749956) is an individual pediatrics provider in Salisbury, Maryland, licensed in Maryland (AC008959) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588749956
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTACEY HUMPHREYSCredential: MSN, RN, CPNP
Location Address106 MILFORD ST STE 201Salisbury, MD 21804-6959
Mailing Address106 Milford St Ste 201Salisbury, MD 21804-6959 · (410) 543-1616 · Fax (410) 543-8497
Phone(410) 543-1616
Fax(410) 543-8497
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateJune 5, 20264 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1588749956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in MD · AC008959✔ Licensed in VA · 0024173915
Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X · License 0001267140 (VA)
106 MILFORD ST STE 201, Salisbury, MD 21804
Open in Google Maps ↗

Secondary Practice Locations 2

Location 116244 Bennett RdCulpeper, VA 22701-4630 · Phone (540) 825-5381 · Fax (540) 829-0945
Location 21109 Brookdale St, Suite CMartinsville, VA 24112-4543 · Phone (276) 666-7545 · Fax (276) 632-0912

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Humphreys Msn, Rn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stacey Humphreys reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Virginia Physicians Group
160 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000
Martinsville Physician Practices LLC
260 mi
Rural Health
319 HOSPITAL DR STE 202
Martinsville, VA 24112
  • Reassigned Medicare billing, Virginia enrollment
  • 87 clinicians in this Medicare group
NPI 1558049742 (276) 666-0452

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21804 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Other Providers at the Same Location NPPES 10

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

CARRIE ANN DAWES APN
Nurse Practitioner
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
MOHAN KUMAR THUMMALAPALLI M.D.
Pediatrics
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
ANNA ETZO APRN
Nurse Practitioner (Family)
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
LISA TAYMAN CRNP
Nurse Practitioner (Family)
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
DR. MITHILA JEGATHESAN MD
Pediatrics
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
LEAH PAIGE BULLOCKS-HAYNES LMSW
Social Worker
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616
REGINALD HARRISON SHOCKLEY SR. LCSW-C
Social Worker (Clinical)
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 334-6961
CHESAPEAKE PEDIATRIC & ADOLESCENT ASSOCIATES, PA
Pediatrics (Adolescent Medicine)
106 MILFORD ST STE 201
SALISBURY, MD 21804
Wicomico County (410) 543-1616

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 Stacey Humphreys's NPI number?

The NPI number for Stacey Humphreys is 1588749956. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Stacey Humphreys located?

Stacey Humphreys practices at 106 Milford St Ste 201, Salisbury, MD 21804. The listed phone number is (410) 543-1616.

What is Stacey Humphreys's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Stacey Humphreys enrolled in Medicare?

Yes. Stacey Humphreys is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Humphreys's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Humphreys reassigns Medicare benefits to 2 organizations: University Of Virginia Physicians Group (Charlottesville, VA) and Martinsville Physician Practices LLC (Martinsville, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Humphreys's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacey Humphreys was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.