Nicole Marie Humphrey, NP - Medicare Nurse Practitioner in Litchfield Park, AZ

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Nicole Marie Humphrey, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Litchfield Park, Arizona. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dermright Llc and her current practice location is 5510 N 130th Ave, Litchfield Park, Arizona. You can reach out to her office (for appointments etc.) via phone at (618) 920-6548.

Nicole Marie Humphrey is licensed to practice in Arizona (license number 292500) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932611522.

Contact Information

Nicole Marie Humphrey, NP
5510 N 130th Ave,
Litchfield Park, AZ 85340-3009
(618) 920-6548
Not Available

Map and Direction




Provider's Profile

Full NameNicole Marie Humphrey
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location5510 N 130th Ave, Litchfield Park, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Marie Humphrey graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1932611522
  • Provider Enumeration Date: 11/03/2017
  • Last Update Date: 08/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951637040
  • Enrollment ID: I20230818002940

Medical Identifiers

Medical identifiers for Nicole Marie Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932611522NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 2017038321 (Missouri)Secondary
363LG0600XNurse Practitioner - Gerontology 292500 (Arizona)Primary
363LA2200XNurse Practitioner - Adult Health 2017038321 (Missouri)Secondary
363LG0600XNurse Practitioner - Gerontology 209017369 (Illinois)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dermright Llc25677070606

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Marie Humphrey allows following entities to bill medicare on her behalf.
Entity NameDermright Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346725488
PECOS PAC ID: 2567707060
Enrollment ID: O20190102001056

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Marie Humphrey is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Marie Humphrey, NP
5510 N 130th Ave,
Litchfield Park, AZ 85340-3009

Ph: (618) 920-6548		Nicole Marie Humphrey, NP
5510 N 130th Ave,
Litchfield Park, AZ 85340-3009

Ph: (618) 920-6548

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.