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NICOLE MARIE HUMPHREY NP
NPI 1932611522
Nurse Practitioner - Gerontology in Litchfield Park, AZ

Active since November 03, 2017PECOS Enrolled
5510 N 130TH AVE, LITCHFIELD PARK, AZ 85340(618) 920-6548 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2023, Nov 3, 2017 (2 updates tracked since 2017).

About Nicole Marie Humphrey Np NPPES

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

NICOLE MARIE HUMPHREY NP (NPI 1932611522) is an individual gerontology provider in Litchfield Park, Arizona, licensed in Arizona (292500) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1932611522
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE MARIE HUMPHREYCredential: NP
Location Address5510 N 130TH AVELitchfield Park, AZ 85340-3009
Mailing Address5510 N 130th AveLitchfield Park, AZ 85340-3009 · (618) 920-6548
Phone(618) 920-6548
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 3, 2017
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1932611522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in AZ · 292500✔ Licensed in MO · 2017038321✔ Licensed in IL · 209017369
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 2017038321 (MO)
5510 N 130TH AVE, Litchfield Park, AZ 85340
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Marie Humphrey Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951637040
PECOS Enrollment IDI20230818002940
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 Nicole Humphrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermright LLC
36 mi
Dermatology
13771 N FOUNTAIN HILLS BLVD # 114-103
Fountain Hills, AZ 85268
  • Reassigned Medicare billing, Arizona enrollment
  • 12 clinicians in this Medicare group
NPI 1346725488 (888) 662-3376

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
169 services47 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
137 services122 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
62 services57 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
47 services47 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
41 services41 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85340 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers25 claims25 services$33.51 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers24 claims24 services$72.47 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers24 claims68 services$25.45 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers12 claims12 services$15.19 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers29 claims166 services$1.65 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
2 suppliers13 claims13 services$9.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 1932611522. It was assigned to this individual provider in the NPPES registry on November 3, 2017.

Where is Nicole Humphrey located?

Nicole Humphrey practices at 5510 N 130th Ave, Litchfield Park, AZ 85340. The listed phone number is (618) 920-6548.

What is Nicole Humphrey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Humphrey enrolled in Medicare?

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

Which organization bills Medicare for Nicole Humphrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Humphrey reassigns Medicare benefits to Dermright LLC (Fountain Hills, AZ). 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 Nicole Humphrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Humphrey accept?

Health plans from UnitedHealthcare 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 August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.