SALLY STEVENS HUMPHREY APRN
NPI 1609988278
Nurse Practitioner - Pediatrics in Germantown, TN

Active since August 31, 2006PECOS Enrolled
2188 E GLENALDEN DR, GERMANTOWN, TN 38139(901) 299-5722 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2020, Oct 25, 2016 (2 updates tracked since 2016).

About Sally Stevens Humphrey Aprn NPPES

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

SALLY STEVENS HUMPHREY APRN (NPI 1609988278) is an individual pediatrics provider in Germantown, Tennessee, licensed in Tennessee (10680) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609988278
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSALLY STEVENS HUMPHREYCredential: APRN
Location Address2188 E GLENALDEN DRGermantown, TN 38139-5451
Mailing Address965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446 · Fax (901) 227-8591
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 19, 20242 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
✔ NPI 1609988278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TN · 10680
2188 E GLENALDEN DR, Germantown, TN 38139

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Stevens Humphrey Aprn 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 Reassignment

Medicare enrollment records show Sally Humphrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 582 clinicians in this Medicare group

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 38139 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Sally Humphrey's NPI number?

The NPI number for Sally Humphrey is 1609988278. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Sally Humphrey located?

Sally Humphrey practices at 2188 E Glenalden Dr, Germantown, TN 38139. The listed phone number is (901) 299-5722.

What is Sally Humphrey's specialty?

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

Is Sally Humphrey enrolled in Medicare?

Yes. Sally Humphrey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sally Humphrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Humphrey reassigns Medicare benefits to Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). The 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 Sally Humphrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sally Humphrey accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Sally Humphrey 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 Sally Humphrey was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.