NICOLE HUMPHREY PSY.D.
NPI 1689284739
Psychologist - Clinical in Salem, OR

Active since August 04, 2020PECOS EnrolledAccepts Medicare Assignment
2600 CENTER ST NE, SALEM, OR 97301(503) 519-8972 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2021, Aug 4, 2020 (2 updates tracked since 2020).

About Nicole Humphrey Psy.d. NPPES

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

NICOLE HUMPHREY PSY.D. (NPI 1689284739) is an individual clinical provider in Salem, Oregon, licensed in Oregon (3250) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689284739
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNICOLE HUMPHREYCredential: PSY.D.
Location Address2600 CENTER ST NESalem, OR 97301-2669
Mailing Address2600 Center St NeSalem, OR 97301-2682
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 4, 2020
Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
NPI 1689284739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OR · 3250
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2600 CENTER ST NE, Salem, OR 97301

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 and accepts Medicare assignment

Nicole Humphrey Psy.d. 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 ID1052726148
PECOS Enrollment IDI20210223002561
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 97301 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
$166.64 typical visit price
range $54.96 – $166.64
Typical copayment $41.66 (range $13.74 – $41.66)
Most-billed visit code 99205
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 20

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

Psychologist (Clinical)
2600 CENTER ST NE
SALEM, OR 97301
Family Medicine
2600 CENTER ST NE
SALEM, OR 97301
Social Worker (Clinical)
2600 CENTER ST NE
SALEM, OR 97301
Psychologist
2600 CENTER ST NE
SALEM, OR 97301
Psychiatry & Neurology (Psychiatry)
2600 CENTER ST NE
SALEM, OR 97301
Dietitian, Registered
2600 CENTER ST NE
SALEM, OR 97301
Psychologist
2600 CENTER ST NE, OREGON STATE HOSPITAL
SALEM, OR 97301
Nurse Practitioner (Psychiatric/Mental Health)
2600 CENTER ST NE
SALEM, OR 97301

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 Nicole Humphrey's NPI number?

The NPI number for Nicole Humphrey is 1689284739. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Nicole Humphrey located?

Nicole Humphrey practices at 2600 Center St NE, Salem, OR 97301. The listed phone number is (503) 519-8972.

What is Nicole Humphrey's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nicole Humphrey enrolled in Medicare?

Yes. Nicole Humphrey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Humphrey accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Nicole 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 Nicole Humphrey was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.