Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Marie Humphrey, NP

Individual provider Gerontology Nurse Practitioner · NPI 1932611522

Nicole Marie Humphrey, NP is a Nurse Practitioner in Litchfield Park, Arizona. Qualified in 2017, 9 years ago. Practices with Dermright LLC, a 12-clinician group. Licensed in Arizona, Illinois and Missouri.

Years since qualifying
9
Licensed in
AZ, IL, MO
In the registry since
2017
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5510 N 130th Ave
Litchfield Park, AZ 85340-3009
Phone: (618) 920-6548
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 292500 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2017038321 (MO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2017038321 (MO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209017369 (IL)

Record details

NPI number1932611522
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 3, 2017
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Dermright Llc — 12 clinicians
Accepts Medicare assignment Not indicated

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients213
Services billed 634 a service is one billed item, such as a visit, a test or a procedure
Average patient age82

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Dermright LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.