CRYSTAL JANE HUMPHRIES (APRN) – Family Nurse Practitioner, NPI 1962929307
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CRYSTAL JANE HUMPHRIES (APRN)
1092 DuVal St Ste 230
Lexington, KY 405158908
Phone: (859) 523-7383
Type: Location
200, Cabarrus Avenue East, Downtown, Concord, Cabarrus County, North Carolina, 28025, United States
CONCORD, NC 280253781
Phone: (888) 849-7379
Fax: (855) 857-7333
Type: Mailing
Prosperous Place, Lexington, Fayette County, Kentucky, 40509, United States
LEXINGTON, KY 405091836
Phone: (859) 275-5229
Fax: (859) 977-2683
Type: Location
112 CREEK ROCK CIR
NICHOLASVILLE, KY 403568037
Phone: (859) 948-3697
Fax: (502) 863-7542
Type: Mailing
1718 ALEXANDRIA DR
LEXINGTON, KY 405043144
Phone: (859) 276-1015
Fax: (859) 277-1015
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $316.
Total Amount is formed as General ($316) + Research ($0) + Ownership ($0) = $316.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($298).
Total Amount
$316
General + Research + Ownership
Payments
10
Total payment records
General Amount
$316
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $298 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $19 |
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: 2017-09-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170925003424 | I | Nurse Practitioner | KY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40515)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | KY |
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