JILL SUZANNE HUMPHREY MD
NPI 1790874402
Pediatrics in Las Vegas, NV

Q: What is Jill Humphrey's NPI number?

The NPI number for Jill Humphrey is 1790874402. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Jill Humphrey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jill Humphrey was last updated on February 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2006PECOS Enrolled

1524 PINTO LN FL 3, LAS VEGAS, NV 89106(702) 944-2828(702) 944-2852 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jill Suzanne Humphrey Md NPPES

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

JILL SUZANNE HUMPHREY MD (NPI 1790874402) is an individual pediatrics provider in Las Vegas, Nevada, licensed in Nevada (24836) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Marcos.

NPPES Registry Identity

NPI1790874402

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJILL SUZANNE HUMPHREYCredential: MD

Location Address1524 PINTO LN FL 3Las Vegas, NV 89106-4195

Mailing Address3016 W Charleston Blvd Ste 100Las Vegas, NV 89102-1973 · (702) 780-2315 · Fax (702) 895-4014

Phone(702) 944-2828

Fax(702) 944-2852

Sole ProprietorYes

Enumeration DateOctober 12, 2006

Last NPPES UpdateFebruary 10, 2025

NPPES CertifiedFebruary 10, 2025

✔ NPI 1790874402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in NV · 24836✔ Licensed in TX · M4181

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1524 PINTO LN FL 3, Las Vegas, NV 89106

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Secondary Practice Location 1

Location 11320 Wonder World Dr Ste 101San Marcos, TX 78666-7558 · Phone (512) 392-1700 · Fax (512) 396-8743

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross and Blue Shield of Texas.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)

Jill Suzanne Humphrey 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89106 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

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Other Providers at the Same Location NPPES 17

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

DR. TIMOTHY MICHAEL GOLIA JR. DO

Student in an Organized Health Care Education/Training Program