1. Home
  2. Directory
  3. Minnesota
  4. Mankato
  5. Family Medicine
  6. NPI Profile

DR. WILLIAM T HUMPHREY JR. MD
NPI 1699765693
Family Medicine in Mankato, MN

Active since October 21, 2005PECOS Enrolled
309 HOLLY LN, MANKATO, MN 56001(507) 388-2120(507) 388-3924 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2020, Mar 4, 2020, Nov 16, 2016 (3 updates tracked since 2016).

About Dr. William T Humphrey Jr. Md NPPES

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

DR. WILLIAM T HUMPHREY JR. MD (NPI 1699765693) is an individual family medicine provider in Mankato, Minnesota, licensed in Minnesota (67918) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699765693
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM T HUMPHREY JR.Credential: MD
Location Address309 HOLLY LNMankato, MN 56001-5422
Mailing Address309 Holly LnMankato, MN 56001-5422 · (507) 388-2120
Phone(507) 388-2120
Fax(507) 388-3924
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateJuly 23, 20203 updates tracked since enumeration
NPPES CertifiedJuly 23, 2020
✔ NPI 1699765693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 67918✔ Licensed in GA · 075631✔ Licensed in WA · MD60974043✔ Licensed in HI · MD-8090
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.
309 HOLLY LN, Mankato, MN 56001
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1203 S Western AveTonasket, WA 98855-8803 · Phone (509) 486-2151 · Fax (509) 486-3176
Location 21600 Vernon Rd, Suite GLaGrange, GA 30240-4143 · Phone (706) 880-7366 · Fax (706) 880-7299

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William T Humphrey Jr. Md 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 William Humphrey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healogics Specialty Physicians Of Georgia, LLC
870 mi
Multi-Specialty
2575 PEACHTREE PKWY STE 250
Cumming, GA 30041
  • Reassigned Medicare billing, Georgia enrollment
  • 24 clinicians in this Medicare group
NPI 1336790468 (478) 405-7996
Okanogan County Public Hospital Dist No 4
1,250 mi
Rural Health
118 S WHITCOMB AVE
Tonasket, WA 98855
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1164580700 (Washington)
  • 197 clinicians in this Medicare group
NPI 1811555931 (506) 486-3191

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 56001 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

GRACE CHALGREN DDS
Dentist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (218) 280-9091
MISS CALLIE JO HANSON RDH, MDT
Dental Therapist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120
MS. ANN MICHELLE DAUFFENBACH THOMPSON MS LMFT
Marriage & Family Therapist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 344-5517
DR. MEAGAN KAYE GOVIG DDS
Dentist (General Practice)
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120
JACOB LEE DVORAK DT
Dental Therapist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120
JESSICA HADLER MDT/RDH
Dental Hygienist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120
PAYTON LEE PENDERGAST DT
Dental Therapist
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120
DR. JANE MUGAMBI DNP
Nurse Practitioner (Psychiatric/Mental Health)
309 HOLLY LN
MANKATO, MN 56001
Blue Earth County (507) 388-2120

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 William Humphrey's NPI number?

The NPI number for William Humphrey is 1699765693. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is William Humphrey located?

William Humphrey practices at 309 Holly Ln, Mankato, MN 56001. The listed phone number is (507) 388-2120.

What is William Humphrey's specialty?

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

Is William Humphrey enrolled in Medicare?

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

Which organizations bill Medicare for William Humphrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Humphrey reassigns Medicare benefits to 2 organizations: Healogics Specialty Physicians Of Georgia, LLC (Cumming, GA) and Okanogan County Public Hospital Dist No 4 (Tonasket, WA). 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 William Humphrey'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 William Humphrey was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.