JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1497977235

JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 002111 (CT). The NPI Number for JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT) is 1497977235

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT)
NPI
1497977235
Phone
(877) 856-3774
Address
2675 WINKLER AVE FL 2
Enumeration Date
2 May 2007
Last Update Date
23 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
2961586086
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20240719000467
Address ID
FL339019328FO2675XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT)

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Type: Mailing

  • 8036 S TAMIAMI TRAIL

    VENICE, FL 342935113

    Phone: (941) 244-4300

    Fax: (941) 244-4380

    Type: Location

  • 226, Mill Hill Avenue, Historic East Side, Bridgeport, Fairfield County, Connecticut, 06610, United States

    3RD FLOOR

    BRIDGEPORT, CT 066102826

    Phone: (203) 453-0677

    Fax: (203) 458-7015

    Type: Mailing

  • 652, Boston Post Road, Guilford, New Haven County, Connecticut, 06437, United States

    GUILFORD, CT 064372719

    Phone: (203) 453-0677

    Fax: (203) 458-7015

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240719000467IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes156122$0
99214Established patient office or other outpatient visit, 30-39 minutes4638$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2626$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1515$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Does JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT) have a public NPI I can cite?
Public records show JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT) under NPI 1497977235.
Does the public listing show JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT) as active?
JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT)'s NPI record reflects an active status in NPPES.
What services align with JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT)'s listing?
JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT)?
The directory associates JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT) with Fort Myers, Florida. Check all listed addresses for suites or satellite offices.
Who maintains JAY RALEIGH HUMPHREY (PHYSICIAN ASSISTANT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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