JENNIFER M HUMPHREY (APRN, FNP-C) – Family Nurse Practitioner, NPI 1639642986
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for JENNIFER M HUMPHREY (APRN, FNP-C)
1630 MARKET CENTER BLVD STE 201
O FALLON, MO 633688407
Phone: (636) 397-4012
Fax: (636) 278-1670
Type: Mailing
504, North Sturgeon Street, Montgomery City, Montgomery County, Missouri, 63361, United States
MONTGOMERY CITY, MO 633611829
Phone: (573) 564-2990
Type: Location
PO BOX 776084
CHICAGO, IL 606773537
Phone: (314) 831-8600
Fax: (314) 831-0086
Type: Mailing
637 DUNN RD STE 102A
HAZELWOOD, MO 630421755
Phone: (314) 831-8600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $518.
Total Amount is formed as General ($518) + Research ($0) + Ownership ($0) = $518.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AIMMUNE THERAPEUTICS, INC. ($56).
Total Amount
$518
General + Research + Ownership
Payments
27
Total payment records
General Amount
$518
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AIMMUNE THERAPEUTICS, INC. | $56 |
| ABBVIE INC. | $53 |
| Madrigal Pharmaceuticals | $40 |
| Janssen Biotech, Inc. | $35 |
| Nevro Corp. | $30 |
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: 2019-03-25
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 |
|---|---|---|---|---|
| I20190325000864 | I | Nurse Practitioner | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 47 | 20 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 39 | 18 | $0 |
Insurance plans in this area (ZIP 63368)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| G A S T R O E N T E R O L O G Y | MO | |
| Nurse Practitioner | IL | |
| - | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Gastroenterology, Internal Medicine | MO |
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