Nicole Marie Humphrey
NP | Nurse Practitioner - Gerontology | 8+ years Exp
5510 N 130th Ave, Litchfield Park
Arizona, 85340-3009
618-920-6548
Accepts Medicare Nurse Anesthetist in Litchfield Park, Arizona.Nicole Marie Humphrey is a Litchfield Park, Arizona based nurse practitioner with 8 years of experience in Gerontology. She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicole Marie Humphrey is 292500 for Gerontology in Arizona. Her current practice location is 5510 N 130th Ave, Litchfield Park. Patients can reach her at 618-920-6548. Nicole Marie Humphrey is NP with specialization in Gerontology and her NPI number (Unique professional ID assigned by NPPES) is 1932611522.
Nicole Marie Humphrey is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Nicole Marie Humphrey speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Nicole Marie Humphrey |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5510 N 130th Ave, Litchfield Park, Arizona, 85340-3009 |
| Phone: | 618-920-6548 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1951637040 |
| Enrollment ID: | I20190726002435 |
| NPI Number: | 1932611522 |
| NPI Enumeration Date: | 03 Nov, 2017 |
| NPI Last Update On: | 15 Aug, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Marie Humphrey are as mentioned below.
| License Number | Specialization | State | Status | |
| 292500 | Gerontology | Arizona | Primary | |
| 2017038321 | Gerontology | Missouri | Secondary | |
| 2017038321 | Adult Health | Missouri | Secondary | |
| 209017369 | Gerontology | Illinois | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (140077) | Centreville, IL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Nicole Marie Humphrey is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Southern Illinois Healthcare Foundation, Inc. (1456256874) | 95 |
| Touchette Regional Hospital Inc (7416843370) | 49 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Nicole Marie Humphrey 5510 N 130th Ave, Litchfield Park, Arizona |
| Zip: | 85340-3009 |
| Phone Number: | 618-920-6548 |
Patients can reach Nicole Marie Humphrey at
5510 N 130th Ave, Litchfield Park, Arizona or can
call to book an appointment on 618-920-6548.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.